Healthcare Provider Details

I. General information

NPI: 1659362242
Provider Name (Legal Business Name): RICHARD LOUIS GELTMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 12/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E 61ST ST
NEW YORK NY
10065-8183
US

IV. Provider business mailing address

115 E 61ST ST
NEW YORK NY
10065-8183
US

V. Phone/Fax

Practice location:
  • Phone: 212-752-2825
  • Fax: 212-838-2110
Mailing address:
  • Phone: 212-752-2825
  • Fax: 212-838-2110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number120515
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: