Provider Demographics
NPI:1508808718
Name:GELFER, POLINA (MD)
Entity Type:Individual
Prefix:DR
First Name:POLINA
Middle Name:
Last Name:GELFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 N 3RD ST FL 2
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-2001
Mailing Address - Country:US
Mailing Address - Phone:717-782-6880
Mailing Address - Fax:
Practice Address - Street 1:2645 N 3RD ST FL 2
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2001
Practice Address - Country:US
Practice Address - Phone:717-782-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5183208000000X
PAMD479618208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7420228OtherAETNA
TX8W7641OtherBCBS
NY02089554Medicaid
TX184726102OtherCSHCN
NY0B4462OtherEMPIRE BC.BS
TX184726101Medicaid
NY7420228OtherAETNA
NY0B4462OtherEMPIRE BC.BS
TX184726102OtherCSHCN