Healthcare Provider Details

I. General information

NPI: 1245692540
Provider Name (Legal Business Name): MR. ARTHUR GELA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1267 FOREST AVE
STATEN ISLAND NY
10302-2311
US

IV. Provider business mailing address

1267 FOREST AVE
STATEN ISLAND NY
10302-2311
US

V. Phone/Fax

Practice location:
  • Phone: 718-720-5604
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI051381-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: