Healthcare Provider Details

I. General information

NPI: 1134143142
Provider Name (Legal Business Name): RICHARD JAMES GELMAN PSY. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

978 ROUTE 45 NORTHSIDE PLAZA SUITE L-7
POMONA NY
10970-3521
US

IV. Provider business mailing address

20 GLEN DR
SOUTH SALEM NY
10590-2309
US

V. Phone/Fax

Practice location:
  • Phone: 845-354-4315
  • Fax:
Mailing address:
  • Phone: 914-763-8906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number8573
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: