Healthcare Provider Details

I. General information

NPI: 1437229770
Provider Name (Legal Business Name): DRS. GABELMAN & LEIZMAN INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 06/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23250 MERCANTILE RD
BEACHWOOD OH
44122-5928
US

IV. Provider business mailing address

23250 MERCANTILE RD
BEACHWOOD OH
44122-5928
US

V. Phone/Fax

Practice location:
  • Phone: 216-292-0600
  • Fax: 216-292-0609
Mailing address:
  • Phone: 216-292-0600
  • Fax: 216-292-0609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL LEIZMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 216-292-0600