Provider Demographics
NPI:1518446186
Name:GELASHVILI, GELA (PA-C)
Entity Type:Individual
Prefix:
First Name:GELA
Middle Name:
Last Name:GELASHVILI
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Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:800 WESTCHESTER AVE STE N715
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1369
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:914-457-1195
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-682-6470
Practice Address - Fax:914-681-5264
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2023-05-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant