Provider Demographics
NPI:1245569011
Name:GELBER FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:GELBER FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GELBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-799-5407
Mailing Address - Street 1:100 HICKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-5823
Mailing Address - Country:US
Mailing Address - Phone:516-799-5407
Mailing Address - Fax:
Practice Address - Street 1:100 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-5823
Practice Address - Country:US
Practice Address - Phone:516-799-5407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70 011654111N00000X
NY70 011721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty