Provider Demographics
NPI:1336293703
Name:GELBER, CARRIE (PSYD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:GELBER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3533
Mailing Address - Country:US
Mailing Address - Phone:914-925-8820
Mailing Address - Fax:
Practice Address - Street 1:115 E 92ND ST
Practice Address - Street 2:PENTHOUSE NORTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1688
Practice Address - Country:US
Practice Address - Phone:212-426-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008776103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist