Healthcare Provider Details

I. General information

NPI: 1417137050
Provider Name (Legal Business Name): GARY H. ALBERT, M.D.P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2007
Last Update Date: 11/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MARCUS AVE SUITE NORTH 1
NEW HYDE PARK NY
11042-1011
US

IV. Provider business mailing address

2001 MARCUS AVE SUITE NORTH 1
NEW HYDE PARK NY
11042-1011
US

V. Phone/Fax

Practice location:
  • Phone: 516-352-5231
  • Fax: 516-437-1093
Mailing address:
  • Phone: 516-352-5231
  • Fax: 516-437-1093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number118275
License Number StateNY

VIII. Authorized Official

Name: DR. GARY H. ALBERT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 516-352-5231