Healthcare Provider Details

I. General information

NPI: 1730321225
Provider Name (Legal Business Name): GARY H GELFAND RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 03/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13601 ROCKAWAY BEACH BLVD
BELLE HARBOR NY
11694-1319
US

IV. Provider business mailing address

13601 ROCKAWAY BEACH BLVD
BELLE HARBOR NY
11694-1319
US

V. Phone/Fax

Practice location:
  • Phone: 718-318-1433
  • Fax:
Mailing address:
  • Phone: 718-318-1433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26242
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: