Healthcare Provider Details

I. General information

NPI: 1538095468
Provider Name (Legal Business Name): GEMSTONE DEVELOPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HOOKS LN STE 314
BALTIMORE MD
21208-1620
US

IV. Provider business mailing address

3504 OVERBROOK RD
BALTIMORE MD
21208-4317
US

V. Phone/Fax

Practice location:
  • Phone: 516-200-1175
  • Fax:
Mailing address:
  • Phone: 516-200-1175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CHANA RICHTER
Title or Position: DIRECTOR
Credential: MD
Phone: 516-200-1175