Gelder Medical PLLC
Organization Active NPI Pediatrics Physician · Sidney, NY
NPI 1962598045 · NPPES record last updated Aug 10, 2009
Key facts
- NPI
- 1962598045
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- GELDER MEDICAL PLLC
- Practice address
- 44 Pearl Street
Gelder Medical Group
Sidney, NY 13838 - Phone
- (607) 563-9961
- Fax
- (607) 563-8804
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Donald Thomas Sherwood
- Title
- Owner
- Phone
- (607) 563-9901
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | |||
| Pediatrics Physician |
208000000X | Yes | ||
| Surgery Physician |
208600000X |
Addresses
Primary practice location
44 Pearl Street
Gelder Medical Group
Sidney, NY 13838
Mailing address
44 Pearl Street
Gelder Medical Group
Sidney, NY 13838
Phone (607) 563-9961
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00514003 | Medicaid | NY |
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All providers in Sidney, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.