Healthcare Provider Details

I. General information

NPI: 1881343614
Provider Name (Legal Business Name): LAURILYN ELANA GELARDI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S BROADWAY STE 101
TARRYTOWN NY
10591-5410
US

IV. Provider business mailing address

303 S BROADWAY STE 101
TARRYTOWN NY
10591-5410
US

V. Phone/Fax

Practice location:
  • Phone: 914-591-4332
  • Fax: 914-591-4338
Mailing address:
  • Phone: 914-591-4332
  • Fax: 914-591-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number048585
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: