Provider Demographics
NPI:1467437764
Name:GELLER, DAVID SAMUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SAMUEL
Last Name:GELLER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3400 BAINBRIDGE AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2404
Mailing Address - Country:US
Mailing Address - Phone:718-920-4429
Mailing Address - Fax:718-515-4386
Practice Address - Street 1:3400 BAINBRIDGE AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2404
Practice Address - Country:US
Practice Address - Phone:718-920-4429
Practice Address - Fax:718-515-4386
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY229471207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery