Healthcare Provider Details

I. General information

NPI: 1841233178
Provider Name (Legal Business Name): GAMZEL NY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 VANDERBILT AVE FL 3
STATEN ISLAND NY
10304-2604
US

IV. Provider business mailing address

75 VANDERBILT AVE FL 3
STATEN ISLAND NY
10304-2604
US

V. Phone/Fax

Practice location:
  • Phone: 718-629-1000
  • Fax: 718-629-1200
Mailing address:
  • Phone: 718-629-1000
  • Fax: 347-602-9061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7001635
License Number StateNY

VIII. Authorized Official

Name: SION DANESHRAD
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-629-1000