Healthcare Provider Details

I. General information

NPI: 1003868696
Provider Name (Legal Business Name): JOY MARLA GELBMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 09/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 70TH ST STARR 4
NEW YORK NY
10021-9800
US

IV. Provider business mailing address

575 LEXINGTON AVE SUITE 500 GWILKENS
NEW YORK NY
10022-6102
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2150
  • Fax: 212-746-8451
Mailing address:
  • Phone: 212-590-5152
  • Fax: 212-590-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number223517
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: