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Individual

PROF. MELVIN R GILBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MBA

Contact information

Practice address
2472 BROADWAY, # 156, NEW YORK, NY 10025-7449
(917) 921-0865
Mailing address
2472 BROADWAY, # 156, NEW YORK, NY 10025-7449
(917) 921-0865

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
155851
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02239412
NY
01
96F29-1
BC-BS
NY
Enumeration date
07/21/2006
Last updated
12/04/2016
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