Healthcare Provider Details

I. General information

NPI: 1750590766
Provider Name (Legal Business Name): MAUREEN CATHERINE GELLING N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CLARKSON AVE BOX 49
BROOKLYN NY
11203-2056
US

IV. Provider business mailing address

3101 FILLMORE AVE
BROOKLYN NY
11234-4836
US

V. Phone/Fax

Practice location:
  • Phone: 718-270-2038
  • Fax: 718-270-2412
Mailing address:
  • Phone: 718-270-2038
  • Fax: 718-270-2412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF333975
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: