Healthcare Provider Details

I. General information

NPI: 1619047180
Provider Name (Legal Business Name): STEVEN A GELBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ARROWOOD DR
ITHACA NY
14850-1857
US

IV. Provider business mailing address

20 ARROWOOD DR
ITHACA NY
14850-1857
US

V. Phone/Fax

Practice location:
  • Phone: 607-266-7800
  • Fax: 607-266-7811
Mailing address:
  • Phone: 607-266-7800
  • Fax: 607-266-7811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number199783
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: