Provider Demographics
NPI:1447680202
Name:GERSTEN, LAURIE (PT)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:
Last Name:GERSTEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:LAURIE
Other - Middle Name:
Other - Last Name:SALZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:222 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2906
Mailing Address - Country:US
Mailing Address - Phone:914-290-4370
Mailing Address - Fax:914-290-4372
Practice Address - Street 1:222 WESTCHESTER AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2906
Practice Address - Country:US
Practice Address - Phone:914-290-4370
Practice Address - Fax:914-290-4372
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011038-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist