Healthcare Provider Details

I. General information

NPI: 1922184217
Provider Name (Legal Business Name): ARLENE R GELLMAN PHD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2006
Last Update Date: 04/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 5TH AVE SUITE 900
NEW YORK NY
10003-3020
US

IV. Provider business mailing address

89 5TH AVE SUITE 900
NEW YORK NY
10003-3020
US

V. Phone/Fax

Practice location:
  • Phone: 212-673-1770
  • Fax:
Mailing address:
  • Phone: 212-673-1770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR054101-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: