Healthcare Provider Details

I. General information

NPI: 1427483858
Provider Name (Legal Business Name): ROSANN GELTZEILER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 09/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 E 11TH ST # 51 4TH FLOOR
NEW YORK NY
10003-4602
US

IV. Provider business mailing address

41 E 11TH ST # 51 4TH FLOOR
NEW YORK NY
10003-4602
US

V. Phone/Fax

Practice location:
  • Phone: 212-477-2600
  • Fax:
Mailing address:
  • Phone: 212-477-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089588-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: