Healthcare Provider Details

I. General information

NPI: 1174565980
Provider Name (Legal Business Name): ROBERT H. GELMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 HEMPSTEAD TPKE
FRANKLIN SQUARE NY
11010-4342
US

IV. Provider business mailing address

PO BOX 591
FRANKLIN SQUARE NY
11010-0591
US

V. Phone/Fax

Practice location:
  • Phone: 516-307-1000
  • Fax: 516-307-1001
Mailing address:
  • Phone: 516-307-1000
  • Fax: 516-307-1001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX006936
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: