Provider Demographics
NPI:1578751525
Name:GELLER, ALAN KEVIN (DO)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:KEVIN
Last Name:GELLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:163 RUSSELL ST
Mailing Address - Street 2:APARTMENT #2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-3601
Mailing Address - Country:US
Mailing Address - Phone:718-387-4812
Mailing Address - Fax:
Practice Address - Street 1:163 RUSSELL ST
Practice Address - Street 2:APARTMENT #2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-3601
Practice Address - Country:US
Practice Address - Phone:718-387-4812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2454692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry