Individual
DR. LEONARD MARK GELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 PROSPECT ST, BALLSTON SPA, NY 12020-1367
(518) 885-6721
(518) 885-5412
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401337001
BSNENY
NY
05
—
00964874
—
NY
01
—
070302000096
FIDELIS
NY
01
—
08132
MVP
NY
01
—
10000746
CDPHP
NY
01
—
200060
SENIOR WHOLE HEALTH
NY
01
—
47333
GHI/HMO
NY
01
—
691671
EMPIRE BC
NY
01
—
7024613
AETNA
NY
Enumeration date
07/18/2006
Last updated
01/31/2018
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