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General NPI Number Information
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NPI Number | 1811207541
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Entity Type | Organization
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Legal Business Name | GABRIEL BERTRAND M.D. P.C.
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 37 MOORE AVE
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3127
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Country | US
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Telephone | 914-666-6084
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Fax | 914-666-5817
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Provider Business Mailing Address
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Address Line | 37 MOORE AVE
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3127
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Country | US
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Telephone | 914-666-6084
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Fax | 914-666-5817
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GABRIEL BERTRAND
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Credential | M.D.
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Telephone | 914-666-6084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 114983
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License Number State | NY
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