Healthcare Provider Details

I. General information

NPI: 1740635135
Provider Name (Legal Business Name): ISAAC AARON GELD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ISAAC GELD LMSW

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 05/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 JOHNSON AVE APT 18N
BRONX NY
10463-4982
US

IV. Provider business mailing address

2500 JOHNSON AVE APT 18N
BRONX NY
10463-4982
US

V. Phone/Fax

Practice location:
  • Phone: 917-733-4961
  • Fax:
Mailing address:
  • Phone: 917-733-4961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number057505-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: