Healthcare Provider Details

I. General information

NPI: 1902106941
Provider Name (Legal Business Name): TEUTA CELAJ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 MAMARONECK AVE STE A
WHITE PLAINS NY
10605-1700
US

IV. Provider business mailing address

39 LINCOLN BLVD
EMERSON NJ
07630-1106
US

V. Phone/Fax

Practice location:
  • Phone: 914-345-0700
  • Fax:
Mailing address:
  • Phone: 917-259-9378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number407313
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: