Provider Demographics
NPI:1730321225
Name:GELFAND, GARY H (RPH)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:H
Last Name:GELFAND
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 1:13601 ROCKAWAY BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLE HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1319
Mailing Address - Country:US
Mailing Address - Phone:718-318-1433
Mailing Address - Fax:
Practice Address - Street 1:13601 ROCKAWAY BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BELLE HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11694-1319
Practice Address - Country:US
Practice Address - Phone:718-318-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist