Healthcare Provider Details

I. General information

NPI: 1336293703
Provider Name (Legal Business Name): CARRIE GELBER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E 92ND ST PENTHOUSE NORTH
NEW YORK NY
10128-1688
US

IV. Provider business mailing address

66 MIDLAND AVE
RYE NY
10580-3533
US

V. Phone/Fax

Practice location:
  • Phone: 212-426-4242
  • Fax:
Mailing address:
  • Phone: 914-925-8820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number008776
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: