Healthcare Provider Details

I. General information

NPI: 1821367731
Provider Name (Legal Business Name): CHERYL ANNE GELBER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2011
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 E 62ND ST
NEW YORK NY
10065-8206
US

IV. Provider business mailing address

350 E 77TH ST APT. 4K
NEW YORK NY
10075-2461
US

V. Phone/Fax

Practice location:
  • Phone: 212-752-7575
  • Fax:
Mailing address:
  • Phone: 917-533-3867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: