Provider Demographics
NPI:1376657940
Name:GELBER, EDWARD ISAAC (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:ISAAC
Last Name:GELBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:26 COURT ST
Mailing Address - Street 2:709
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11242-0103
Mailing Address - Country:US
Mailing Address - Phone:917-818-3011
Mailing Address - Fax:917-768-2011
Practice Address - Street 1:26 COURT ST
Practice Address - Street 2:709
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-0103
Practice Address - Country:US
Practice Address - Phone:917-818-3011
Practice Address - Fax:917-768-2011
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2303812084P0800X
NY2822882084P0800X
VA01012506572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry