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Kenneth Adam Gerasimovich
Student in an Organized Health Care Education/Training Program in Glen Head, New York
NPI 1013654854

Kenneth Adam Gerasimovich is a Student in an Organized Health Care Education/Training Program based in Glen Head, NY. Kenneth Adam Gerasimovich practices in Glen Head, NY. The NPI Number for Kenneth Adam Gerasimovich is 1013654854 and holds a License No. (New York).

The current practice location address for Kenneth Adam Gerasimovich is 11 Willow Pl, Glen Head, NY and can be reached out via phone at 516-528-0194.

Location: 11 Willow Pl, Glen Head, NY, 11545-1561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013654854
Provider Name
Kenneth Adam Gerasimovich
Credential
Provider Entity Type
Individual
Gender
Male
Address
11 Willow Pl, Glen Head, NY, 11545-1561
Phone Number
516-528-0194
Fax Number
Provider Enumeration Date
05/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11 Willow Pl
City
Glen Head
State
New York
Zip
11545-1561
Phone Number
516-528-0194
Fax Number
person
Provider Business Mailing Address Details
Address
11 Willow Pl
City
Glen Head
State
New York
Zip
11545-1561
Phone Number
516-528-0194
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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