Provider Demographics
NPI:1609993641
Name:GILBERT, ALFRED (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:
Last Name:GILBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FRED
Other - Middle Name:
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1300 YORK AVE
Mailing Address - Street 2:BOX 53
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4805
Mailing Address - Country:US
Mailing Address - Phone:212-746-1496
Mailing Address - Fax:212-746-8893
Practice Address - Street 1:1300 YORK AVE
Practice Address - Street 2:BOX 53
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4805
Practice Address - Country:US
Practice Address - Phone:212-746-1496
Practice Address - Fax:212-746-8893
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102024207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)