Provider Demographics
NPI:1629104302
Name:GOUNDER, CELINE R (MD, SCM)
Entity Type:Individual
Prefix:DR
First Name:CELINE
Middle Name:R
Last Name:GOUNDER
Suffix:
Gender:F
Credentials:MD, SCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 W 17TH ST FL 7
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-5368
Mailing Address - Country:US
Mailing Address - Phone:212-523-6500
Mailing Address - Fax:212-523-8555
Practice Address - Street 1:230 W 17TH ST FL 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-5368
Practice Address - Country:US
Practice Address - Phone:212-523-6500
Practice Address - Fax:212-523-8555
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0070468207RI0200X
NY264863-1207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease