Healthcare Provider Details

I. General information

NPI: 1124851415
Provider Name (Legal Business Name): LINDSAY GELLING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2024
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13665 37TH AVE
FLUSHING NY
11354-4110
US

IV. Provider business mailing address

13665 37TH AVE
FLUSHING NY
11354-4110
US

V. Phone/Fax

Practice location:
  • Phone: 833-252-2737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF311846-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: