Healthcare Provider Details

I. General information

NPI: 1982877080
Provider Name (Legal Business Name): CELESTE MARRERO PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS CELESTE GALAGARZA

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 08/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 PARK AVE S SUITE 302
NEW YORK NY
10010-7304
US

IV. Provider business mailing address

257 PARK AVE S SUITE 302
NEW YORK NY
10010-7304
US

V. Phone/Fax

Practice location:
  • Phone: 212-677-8550
  • Fax: 212-677-5825
Mailing address:
  • Phone: 212-677-8550
  • Fax: 212-677-5825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: