Provider Demographics
NPI:1073672861
Name:POSADA, GERARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:
Last Name:POSADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GERARDO
Other - Middle Name:AQUILES
Other - Last Name:POSADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:719 W NYACK RD
Mailing Address - Street 2:SUITE 35
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2240
Mailing Address - Country:US
Mailing Address - Phone:845-535-3343
Mailing Address - Fax:845-535-3344
Practice Address - Street 1:719 W NYACK RD
Practice Address - Street 2:SUITE 35
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2240
Practice Address - Country:US
Practice Address - Phone:845-535-3343
Practice Address - Fax:845-535-3344
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2377402084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry