Provider Demographics
NPI:1700881125
Name:NEER, GARY L (MD)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:L
Last Name:NEER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3910 CAUGHEY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-4041
Mailing Address - Country:US
Mailing Address - Phone:814-877-5401
Mailing Address - Fax:814-877-5400
Practice Address - Street 1:3910 CAUGHEY RD STE 150
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4041
Practice Address - Country:US
Practice Address - Phone:814-877-5401
Practice Address - Fax:814-877-5400
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2024-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD054525L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA66435OtherUNISON
NY01976723OtherNY MEDICAL ASSISTANCE
PA0014933830007Medicaid
PA080080406OtherRR MEDICARE
NY00025506301OtherUNIVERA
PA600341OtherBLUE SHIELD
PA212648OtherUPMC
PAP000351OtherGATEWAY
OH2220420OtherOH MEDICAL ASSISTANCE
PA519521OtherAETNA
PA66435OtherUNISON
PA519521OtherAETNA