Provider Demographics
NPI:1548276876
Name:GELBINOVICH, ALEX (RPH)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:GELBINOVICH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1963 RYDER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4513
Mailing Address - Country:US
Mailing Address - Phone:718-252-1947
Mailing Address - Fax:718-252-7472
Practice Address - Street 1:533 E 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4801
Practice Address - Country:US
Practice Address - Phone:718-282-9200
Practice Address - Fax:718-282-7930
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist