Healthcare Provider Details

I. General information

NPI: 1316190861
Provider Name (Legal Business Name): MARIANNE GELLAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 10/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HEMLOCK RD
HARTSDALE NY
10530-2951
US

IV. Provider business mailing address

16 HEMLOCK RD
HARTSDALE NY
10530-2951
US

V. Phone/Fax

Practice location:
  • Phone: 914-693-0547
  • Fax:
Mailing address:
  • Phone: 914-693-0547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number000277
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: