Provider Demographics
NPI:1376226241
Name:GELIN, ANDREA ELENA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:ELENA
Last Name:GELIN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:25 TRINITY PL APT 1B
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2345
Mailing Address - Country:US
Mailing Address - Phone:516-304-0879
Mailing Address - Fax:
Practice Address - Street 1:5645 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5045
Practice Address - Country:US
Practice Address - Phone:718-661-7764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant