Basic Information
Provider Information
NPI: 1003868696
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GELBMAN
FirstName: JOY
MiddleName: MARLA
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 575 LEXINGTON AVE
Address2: SUITE 500 GWILKENS
City: NEW YORK
State: NY
PostalCode: 100226102
CountryCode: US
TelephoneNumber: 2125905152
FaxNumber: 2125907800
Practice Location
Address1: 520 E 70TH ST
Address2: STARR 4
City: NEW YORK
State: NY
PostalCode: 100219800
CountryCode: US
TelephoneNumber: 2127462150
FaxNumber: 2127468451
Other Information
ProviderEnumerationDate: 05/16/2006
LastUpdateDate: 09/20/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X223517NYY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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