Healthcare Provider Details

I. General information

NPI: 1629531199
Provider Name (Legal Business Name): LAURA CHRISTINE GEMMELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 W 168TH ST PH 16
NEW YORK NY
10032-3720
US

IV. Provider business mailing address

10001 CHESTER AVE APT 621
CLEVELAND OH
44106-1639
US

V. Phone/Fax

Practice location:
  • Phone: 212-756-8282
  • Fax:
Mailing address:
  • Phone: 617-835-8241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number324334
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: