Healthcare Provider Details

I. General information

NPI: 1003024217
Provider Name (Legal Business Name): CINDY CARLA GELBER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 PARK AVE FL 2
RUTHERFORD NJ
07070-1714
US

IV. Provider business mailing address

300 E 40TH ST APT 4G
NEW YORK NY
10016-2188
US

V. Phone/Fax

Practice location:
  • Phone: 201-747-4610
  • Fax:
Mailing address:
  • Phone: 212-867-3277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05229300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number074702-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: