Healthcare Provider Details

I. General information

NPI: 1154541704
Provider Name (Legal Business Name): VALERIE GELBER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HORIZON DR
HUNTINGTON NY
11743-4436
US

IV. Provider business mailing address

6 SHEEP PASTURE LN
HUNTINGTON NY
11743-5136
US

V. Phone/Fax

Practice location:
  • Phone: 631-920-8000
  • Fax:
Mailing address:
  • Phone: 631-659-3016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number070259-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number076790-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: