National Provider Identifier
Tara L Gellasch, MD
Tara L Gellasch, MD is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Newark, NY and a listed phone number of (315) 332-2427.
Profile Overview
- NPI
- 1780694489
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- August 08, 2006
- Last Updated
- January 09, 2014
Practice Location
- 1250 Driving Park Ave
- Newark, NY 14513-1057
Phone: (315) 332-2427
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1780694489
- Entity Type
- Individual
- Last Name
- Gellasch
- First Name
- Tara
- Middle Name
- L
- Credential
- MD
- Mailing Street Address
- 1250 Driving Park Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1057
- Mailing Country
- US
- Mailing Phone
- (315) 332-2427
- Mailing Fax
- (315) 332-2324
- Practice Street Address
- 1250 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1057
- Practice Country
- US
- Practice Phone
- (315) 332-2427
- Practice Fax
- (315) 332-2324
- Enumeration Date
- August 08, 2006
- Last Updated
- January 09, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X), Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 03105295 (NY)