Provider Demographics
NPI:1639123730
Name:GERARD, JANET ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:ANN
Last Name:GERARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 GRAFF AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3119
Mailing Address - Country:US
Mailing Address - Phone:718-931-3030
Mailing Address - Fax:718-931-3031
Practice Address - Street 1:240 GRAFF AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3119
Practice Address - Country:US
Practice Address - Phone:718-931-3030
Practice Address - Fax:718-931-3031
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002956111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTX915OtherCONNECTICUT LICENSE NUMBE
NYCO2956-3BOtherWORKER'S COMPENSATION NUM
NYX002956OtherNYS LICENSE NYMBER
NYX002956OtherNYS LICENSE NYMBER