Healthcare Provider Details

I. General information

NPI: 1326931429
Provider Name (Legal Business Name): LOUISE N GELIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 GREENGROVE AVE
UNIONDALE NY
11553-2131
US

IV. Provider business mailing address

506 GREENGROVE AVE
UNIONDALE NY
11553-2131
US

V. Phone/Fax

Practice location:
  • Phone: 516-514-9001
  • Fax:
Mailing address:
  • Phone: 516-514-9001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number771180
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number771180
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: