Healthcare Provider Details

I. General information

NPI: 1356594600
Provider Name (Legal Business Name): COURTNEY GELERNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 10/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 ROUTE 59
MONSEY NY
10952-3773
US

IV. Provider business mailing address

71 ROUTE 59
MONSEY NY
10952-3773
US

V. Phone/Fax

Practice location:
  • Phone: 845-426-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number024485
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: