Provider Demographics
NPI:1386618098
Name:GERSTENFELD, DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:GERSTENFELD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4299 HYLAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-6527
Mailing Address - Country:US
Mailing Address - Phone:718-984-7616
Mailing Address - Fax:718-984-8584
Practice Address - Street 1:4299 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-6527
Practice Address - Country:US
Practice Address - Phone:718-984-7616
Practice Address - Fax:718-984-8584
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179218207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCF8541OtherRAILROAD MEDICARE
NY41Z751Medicare ID - Type Unspecified
NYF39898Medicare UPIN