Provider Demographics
NPI:1265630529
Name:GONZALEZ-GELLINEAU, CRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:
Last Name:GONZALEZ-GELLINEAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MANETTO HILL ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803
Mailing Address - Country:US
Mailing Address - Phone:631-598-4713
Mailing Address - Fax:631-598-4713
Practice Address - Street 1:100 MANETTO HILL ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803
Practice Address - Country:US
Practice Address - Phone:631-598-4713
Practice Address - Fax:631-598-4713
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00831972084P0800X, 2084P0804X
TXT21682084P0800X, 2084P0804X
NY1967212084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty