Provider Demographics
NPI:1508132838
Name:GELB, YAFFA
Entity Type:Individual
Prefix:MRS
First Name:YAFFA
Middle Name:
Last Name:GELB
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:YAFFA
Other - Middle Name:
Other - Last Name:LEB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:920 E 17TH ST
Mailing Address - Street 2:APT 212
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3751
Mailing Address - Country:US
Mailing Address - Phone:718-986-1155
Mailing Address - Fax:
Practice Address - Street 1:920 E 17TH ST
Practice Address - Street 2:APT 212
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3751
Practice Address - Country:US
Practice Address - Phone:718-986-1155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017278-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist