Provider Demographics
NPI:1144552175
Name:GELBARD, BERNARD L (BS)
Entity type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:L
Last Name:GELBARD
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 RED SCHOOLHOUSE RD
Mailing Address - Street 2:SUITE 226
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-7053
Mailing Address - Country:US
Mailing Address - Phone:845-371-8600
Mailing Address - Fax:
Practice Address - Street 1:80 RED SCHOOLHOUSE RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-7053
Practice Address - Country:US
Practice Address - Phone:845-371-8600
Practice Address - Fax:845-356-2552
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021395183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist