Healthcare Provider Details

I. General information

NPI: 1417058165
Provider Name (Legal Business Name): JOSEPH S. GELBFISH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 BEDFORD AVE
BROOKLYN NY
11210-3713
US

IV. Provider business mailing address

2500 AVENUE I
BROOKLYN NY
11210-2830
US

V. Phone/Fax

Practice location:
  • Phone: 718-951-0100
  • Fax: 718-258-0286
Mailing address:
  • Phone: 718-951-0100
  • Fax: 718-258-0286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number150961
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: