Provider Demographics
NPI:1790874121
Name:GERSTEIN, HAL (MD)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:
Last Name:GERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:225 COMMUNITY DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5506
Mailing Address - Country:US
Mailing Address - Phone:516-482-4790
Mailing Address - Fax:516-773-3708
Practice Address - Street 1:225 COMMUNITY DR
Practice Address - Street 2:SUITE 160
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5506
Practice Address - Country:US
Practice Address - Phone:516-482-4790
Practice Address - Fax:516-773-3708
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138753207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00000295304 03OtherUNITED
NY378541160NYOther1199
NY4383314OtherAETNA-US HEALTH
NY7200006OtherGHI
NYAP017OtherOXFORD HEALTH PLANS
NYHG020D8120OtherBLUE CROSS
NY7200006OtherGHI
B10923Medicare UPIN