Provider Demographics
NPI:1679642565
Name:GELBERT, RIMMA (DO)
Entity Type:Individual
Prefix:DR
First Name:RIMMA
Middle Name:
Last Name:GELBERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 E 17TH ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2645
Mailing Address - Country:US
Mailing Address - Phone:718-336-0330
Mailing Address - Fax:718-336-0073
Practice Address - Street 1:1632 E 16TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1108
Practice Address - Country:US
Practice Address - Phone:718-336-0330
Practice Address - Fax:718-336-0073
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242323207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4596PZT2Z1Medicare PIN