Provider Demographics
NPI:1851312383
Name:ROSENBLUM, GILBERT ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:ALAN
Last Name:ROSENBLUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1575 HILLSIDE AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2501
Mailing Address - Country:US
Mailing Address - Phone:516-437-1616
Mailing Address - Fax:516-354-6048
Practice Address - Street 1:1575 HILLSIDE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2501
Practice Address - Country:US
Practice Address - Phone:516-437-1616
Practice Address - Fax:516-354-6048
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2014-06-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY116430207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY112458161OtherMAGNACARE
NY47640OtherMDNY
NY31924OtherEMPIRE BLUE SHIELD
NY37423OtherVYTRA
NY112458161Other1199 NATIONAL BENEFIT FUN
NY112458161OtherMULTIPLAN
NYAP428OtherOXFORD
NY1359784OtherUNITED HEALTHCARE
NY2C8021OtherHEALTHNET
NY3531317001OtherCIGNA
NYB12878Medicare UPIN
NYWO3751Medicare ID - Type UnspecifiedMEDICARE