Provider Demographics
NPI:1851540033
Name:GILBERTE ROSARION, MD, PLLC
Entity type:Organization
Organization Name:GILBERTE ROSARION, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GILBERTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-234-0059
Mailing Address - Street 1:58 HAMILTON PL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-6882
Mailing Address - Country:US
Mailing Address - Phone:211-234-0059
Mailing Address - Fax:212-234-0108
Practice Address - Street 1:58 HAMILTON PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-6882
Practice Address - Country:US
Practice Address - Phone:212-234-0059
Practice Address - Fax:212-234-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176688207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEY351Medicare PIN