MEDICARE: DR. EMMANUEL GELIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	192203	NY

General Provider Information

NPI Number	:	1134236961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMMANUEL GELIN MD

Provider Business Mailing Address
First Line	:	15131 81ST ST
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-1735
Country	:	US
Telephone Number	:	516-567-2273
Fax Number	:	718-240-0564

Provider Business Practice Location Address
First Line	:	15131 81ST ST
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-1735
Country	:	US
Telephone Number	:	516-567-2273
Fax Number	:	718-240-0564

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	03/14/2024

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