Provider Demographics
NPI:1083062962
Name:GELMAN, CHAYA
Entity Type:Individual
Prefix:DR
First Name:CHAYA
Middle Name:
Last Name:GELMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ARCADIAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:WESLEY HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10977
Mailing Address - Country:US
Mailing Address - Phone:212-600-1946
Mailing Address - Fax:
Practice Address - Street 1:6 ARCADIAN DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1122
Practice Address - Country:US
Practice Address - Phone:212-600-1946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist