Provider Demographics
NPI:1265606172
Name:GELLER, NANCY JOSEPHINE (MA, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:NANCY
Middle Name:JOSEPHINE
Last Name:GELLER
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:660 1ST AVE
Mailing Address - Street 2:7TH FLOOR, ROOM 700
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3295
Mailing Address - Country:US
Mailing Address - Phone:212-263-0323
Mailing Address - Fax:212-263-3330
Practice Address - Street 1:660 1ST AVE
Practice Address - Street 2:7TH FLOOR, ROOM 700
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3295
Practice Address - Country:US
Practice Address - Phone:212-263-0323
Practice Address - Fax:212-263-3330
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2015-07-16
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Provider Licenses
StateLicense IDTaxonomies
NY5967-1235Z00000X
NJ41YS00484200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist