Healthcare Provider Details

I. General information

NPI: 1568918332
Provider Name (Legal Business Name): MICHAEL L GELFAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 OAKMONT ST
SCHENECTADY NY
12309-6550
US

IV. Provider business mailing address

82 OAKMONT ST
SCHENECTADY NY
12309-6550
US

V. Phone/Fax

Practice location:
  • Phone: 518-852-5916
  • Fax:
Mailing address:
  • Phone: 518-852-5916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number094405
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: