Provider Demographics
NPI:1750393716
Name:GABELMAN, GARY (MD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:
Last Name:GABELMAN
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 1:210 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:688 WHITE PLAINS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5015
Practice Address - Country:US
Practice Address - Phone:914-722-6300
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168927207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01852900Medicaid
NY93F401OtherEMPIRE BLUE CROSS
168927NYOtherLOCAL 1199
000000029178OtherGHI HMO
0H4244OtherHEALTH NET
W5410OtherOXFORD
1042113OtherUNITED HEALTHCARE
2100527OtherGHI PPO CBP
NY060032651OtherRAILROAD MEDICARE
10324OtherCONTRACT MANAGEMENT ORG
9733843010OtherCIGNA
NY168927OtherHIP
9733843010OtherCIGNA
1042113OtherUNITED HEALTHCARE