MEDICARE: ALEX GELBINOVICH RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	037970	NY

General Provider Information

NPI Number	:	1548276876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX GELBINOVICH RPH

Provider Business Mailing Address
First Line	:	1963 RYDER ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4513
Country	:	US
Telephone Number	:	718-252-1947
Fax Number	:	718-252-7472

Provider Business Practice Location Address
First Line	:	533 E 7TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-4801
Country	:	US
Telephone Number	:	718-282-9200
Fax Number	:	718-282-7930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

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