Healthcare Provider Details

I. General information

NPI: 1023695475
Provider Name (Legal Business Name): ARIELLA GARTENBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARIELLA APPLEBAUM MD

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PELHAM PKWY S BUILDING 6//SUITE B125
BRONX NY
10461
US

IV. Provider business mailing address

1400 PELHAM PKWY S BUILDING 6//SUITE B125
BRONX NY
10461
US

V. Phone/Fax

Practice location:
  • Phone: 718-918-5820
  • Fax:
Mailing address:
  • Phone: 718-918-5820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number333038-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: