Individual
MR. KEITH R. GELB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2303 RICHMOND AVE, STATEN ISLAND, NY 10314-3918
(718) 982-9602
Mailing address
2303 RICHMOND AVE, STATEN ISLAND, NY 10314-3918
(718) 982-9602
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4641
NY
Other
Enumeration date
05/16/2006
Last updated
01/05/2008
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