Provider Demographics
NPI:1114405420
Name:FOLDESI, GERGELY (PSYD)
Entity Type:Individual
Prefix:
First Name:GERGELY
Middle Name:
Last Name:FOLDESI
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 W 60TH ST UNIT 20127
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-9703
Mailing Address - Country:US
Mailing Address - Phone:917-456-9010
Mailing Address - Fax:
Practice Address - Street 1:2504 CLAY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1811
Practice Address - Country:US
Practice Address - Phone:917-456-9010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-31
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY30154103TC0700X
NY024310103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical