Provider Demographics
NPI:1295097921
Name:FELMAN, GABRIELLE (MS ED, MSW)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:
Last Name:FELMAN
Suffix:
Gender:F
Credentials:MS ED, MSW
Other - Prefix:MRS
Other - First Name:GABRIELLE
Other - Middle Name:
Other - Last Name:GAINEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, MSW
Mailing Address - Street 1:610 W 112TH ST
Mailing Address - Street 2:FAMILY CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1898
Mailing Address - Country:US
Mailing Address - Phone:212-875-4412
Mailing Address - Fax:
Practice Address - Street 1:610 W 112TH ST
Practice Address - Street 2:FAMILY CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1898
Practice Address - Country:US
Practice Address - Phone:212-875-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1134239174400000X
NY093677-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker