Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 242945 | NY |
NPI | 1780861054 |
---|---|
Provider Name | Dr. Bruce Elliot Gelb |
First Address | New York, NY 10016-4972 |
Second Address | New York, NY 10016-4972 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 09/05/2017 |