Provider Demographics
NPI:1740372630
Name:GEHRMAN, RUDY (DC)
Entity type:Individual
Prefix:MR
First Name:RUDY
Middle Name:
Last Name:GEHRMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 REMSEN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4313
Mailing Address - Country:US
Mailing Address - Phone:718-260-1000
Mailing Address - Fax:718-260-0072
Practice Address - Street 1:163 REMSEN ST APT 2F
Practice Address - Street 2:PHYSIOLOGIC CHIRO & PHYSICAL THERPY PLLC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4313
Practice Address - Country:US
Practice Address - Phone:718-260-1000
Practice Address - Fax:718-260-0072
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010420111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400017688Medicare UPIN
NYU92334Medicare UPIN