Healthcare Provider Details

I. General information

NPI: 1356587539
Provider Name (Legal Business Name): MS. HANNAH GELERNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2008
Last Update Date: 12/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DINEV CT
MONROE NY
10950-6449
US

IV. Provider business mailing address

PO BOX 351
NEW CITY NY
10956-0351
US

V. Phone/Fax

Practice location:
  • Phone: 845-782-7510
  • Fax:
Mailing address:
  • Phone: 845-304-7396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0012661
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: