Healthcare Provider Details
I. General information
NPI: 1134083819
Provider Name (Legal Business Name): DR GELLER VT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
43 STARR FARM RD
BURLINGTON VT
05408-1321
US
IV. Provider business mailing address
2119 ORIEN RD
TOMS RIVER NJ
08755-1366
US
V. Phone/Fax
- Phone: 646-303-7650
- Fax: 646-222-6468
- Phone: 646-303-7650
- Fax: 646-222-6468
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FELIX
ARON
GELLER
Title or Position: OWNER
Credential:
Phone: 646-303-7650