Healthcare Provider Details

I. General information

NPI: 1063558013
Provider Name (Legal Business Name): KIRA GELFENSHTEYN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180-05 HILLSIDE AVE
JAMAICA NY
11432-4727
US

IV. Provider business mailing address

55 WATER ST FL 2
NEW YORK NY
10041-0010
US

V. Phone/Fax

Practice location:
  • Phone: 718-526-6300
  • Fax: 718-262-7064
Mailing address:
  • Phone: 646-680-2888
  • Fax: 516-542-5556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number216411
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: