Provider Demographics
NPI:1497066336
Name:SPERLING, GERRI MARIE (NP)
Entity Type:Individual
Prefix:MS
First Name:GERRI
Middle Name:MARIE
Last Name:SPERLING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 COUNTY ROAD 39A
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-5241
Mailing Address - Country:US
Mailing Address - Phone:631-702-8327
Mailing Address - Fax:631-702-8314
Practice Address - Street 1:676 COUNTY ROAD 39A
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5241
Practice Address - Country:US
Practice Address - Phone:631-702-8327
Practice Address - Fax:631-702-8314
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF303953363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health