Provider Demographics
NPI:1568548949
Name:GERBA, WILLIAM MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:GERBA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:935 NORTHERN BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5309
Mailing Address - Country:US
Mailing Address - Phone:516-466-9062
Mailing Address - Fax:516-466-9081
Practice Address - Street 1:935 NORTHERN BLVD
Practice Address - Street 2:STE 300
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5309
Practice Address - Country:US
Practice Address - Phone:516-466-9062
Practice Address - Fax:516-466-9081
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2021-12-20
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Provider Licenses
StateLicense IDTaxonomies
NY124840208000000X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics