Healthcare Provider Details

I. General information

NPI: 1679642565
Provider Name (Legal Business Name): RIMMA GELBERT D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1632 E 16TH ST
BROOKLYN NY
11229-1108
US

IV. Provider business mailing address

1705 E 17TH ST LOWR LEVEL
BROOKLYN NY
11229-2645
US

V. Phone/Fax

Practice location:
  • Phone: 718-336-0330
  • Fax: 718-336-0073
Mailing address:
  • Phone: 718-336-0330
  • Fax: 718-336-0073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number242323
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: