Healthcare Provider Details

I. General information

NPI: 1548276876
Provider Name (Legal Business Name): ALEX GELBINOVICH RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 E 7TH ST
BROOKLYN NY
11218-4801
US

IV. Provider business mailing address

1963 RYDER ST
BROOKLYN NY
11234-4513
US

V. Phone/Fax

Practice location:
  • Phone: 718-282-9200
  • Fax: 718-282-7930
Mailing address:
  • Phone: 718-252-1947
  • Fax: 718-252-7472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number037970
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: