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General NPI Number Information
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NPI Number | 1740274968
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Entity Type | Organization
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Legal Business Name | BERNARD GELBARD MD PC
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 133 PARK ST
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City | MALONE
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State | NY
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Zip | 12953-1220
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Country | US
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Telephone | 518-483-3000
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Fax | 518-483-0860
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Provider Business Mailing Address
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Address Line | PO BOX 2005
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-4505
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Country | US
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Telephone | 315-449-0513
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Fax | 315-445-2936
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Authorized Official
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Title or Position | OWNER
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Name | BERNARD GELBARD
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Credential | MD
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Telephone | 518-483-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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