Provider Demographics
NPI:1194554592
Name:VERMA, GISELLE
Entity type:Individual
Prefix:
First Name:GISELLE
Middle Name:
Last Name:VERMA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:GISELLE
Other - Middle Name:
Other - Last Name:ALVAREZ CHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:145 HUGUENOT ST STE 404
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5237
Mailing Address - Country:US
Mailing Address - Phone:914-355-2440
Mailing Address - Fax:914-235-0822
Practice Address - Street 1:145 HUGUENOT ST STE 404
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5237
Practice Address - Country:US
Practice Address - Phone:914-355-2440
Practice Address - Fax:914-235-0822
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NYP131061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health