MEDICARE: ANTONY GERALIS C.PSY.A., L.PSY.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	102L00000X	Psychoanalyst	001265	NY

General Provider Information

NPI Number	:	1487509782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONY GERALIS C.PSY.A., L.PSY.A.

Provider Business Mailing Address
First Line	:	334 W 87TH ST APT 5A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-2614
Country	:	US
Telephone Number	:	917-658-7184
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 W 87TH ST APT 5A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-2614
Country	:	US
Telephone Number	:	917-658-7184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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