Provider Demographics
NPI:1073298154
Name:RICHARD A GASALBERTI M D SPORTS MEDICINE & REHABILITATION P C
Entity Type:Organization
Organization Name:RICHARD A GASALBERTI M D SPORTS MEDICINE & REHABILITATION P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:GASALBERTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-544-7700
Mailing Address - Street 1:11510 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7015
Mailing Address - Country:US
Mailing Address - Phone:718-544-7700
Mailing Address - Fax:718-793-2942
Practice Address - Street 1:3146 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5706
Practice Address - Country:US
Practice Address - Phone:718-792-6503
Practice Address - Fax:718-792-0096
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPORTS MEDICINE & REHABILITATION PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty