Healthcare Provider Details

I. General information

NPI: 1467979773
Provider Name (Legal Business Name): CAROLINE JEAN GELLING PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3029 38TH ST
ASTORIA NY
11103-3875
US

IV. Provider business mailing address

22 DON ST APT A34
EAST PATCHOGUE NY
11772-6229
US

V. Phone/Fax

Practice location:
  • Phone: 229-873-3296
  • Fax:
Mailing address:
  • Phone: 631-885-3991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: