- Practice location
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone
- 718-920-2961
- Fax
- —
- Last updated
- October 22, 2007
Inna Gedzberg is a Physician Assistant, Medical based in Bronx, NY. Inna Gedzberg practices in Bronx, NY. The NPI Number for Inna Gedzberg is 1720277171 and holds a License No. 004996 (NY). The current practice location address for Inna Gedzberg is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 718-920-2961.
Provider Profile Details
- NPI Number
- 1720277171
- Provider Name
- Inna Gedzberg
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 E 210TH St, Bronx, NY 10467-2401
- Phone Number
- 718-920-2961
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 22, 2007
- Last Update Date
- October 22, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 E 210TH St
Bronx, NY 10467-2401 - City
- Bronx
- State
- New York
- Zip
- 10467-2401
- Phone Number
- 718-920-2961
Provider Business Mailing Address Details
- Address
- 22 Maltese Dr
Fair Lawn, NJ 07410-5812 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-5812
- Phone Number
- 201-475-9515
License Information
- License Number
- 004996
- License State
- NY
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Inna Gedzberg?
The NPI number of Ms. Inna Gedzberg is 1720277171. It was assigned on October 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Inna Gedzberg?
Ms. Inna Gedzberg is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 004996.
Where does Ms. Inna Gedzberg practice?
The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 718-920-2961 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720277171 directly on the NPPES registry website.