MEDICARE: MRS. ZHANNA GELMAN FNP

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	363LF0000X	Family Nurse Practitioner	337125	NY

General Provider Information

NPI Number	:	1992077150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ZHANNA GELMAN FNP

Provider Business Mailing Address
First Line	:	44A AUSTIN AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-4502
Country	:	US
Telephone Number	:	917-696-6703
Fax Number	:

Provider Business Practice Location Address
First Line	:	44A AUSTIN AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-4502
Country	:	US
Telephone Number	:	917-696-6703
Fax Number	:

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

Provider Enumeration Date	:	02/03/2012
Last Update Date	:	02/03/2012

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