Provider Demographics
NPI:1235445040
Name:MARTI GILBER D.O.,P.C.
Entity Type:Organization
Organization Name:MARTI GILBER D.O.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-233-2882
Mailing Address - Street 1:925 HEMPSTEAD TPKE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-3641
Mailing Address - Country:US
Mailing Address - Phone:516-233-2882
Mailing Address - Fax:516-270-3229
Practice Address - Street 1:925 HEMPSTEAD TPKE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-3641
Practice Address - Country:US
Practice Address - Phone:516-233-2882
Practice Address - Fax:516-270-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219471207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty