Healthcare Provider Details

I. General information

NPI: 1922769710
Provider Name (Legal Business Name): PETRA MARGITA GELBART MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 75TH ST APT 321
JACKSON HEIGHTS NY
11372-4417
US

IV. Provider business mailing address

3535 75TH ST APT 321
JACKSON HEIGHTS NY
11372-4417
US

V. Phone/Fax

Practice location:
  • Phone: 862-772-1732
  • Fax:
Mailing address:
  • Phone: 862-772-1732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: