Provider Demographics
NPI:1740635135
Name:GELD, ISAAC AARON
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:AARON
Last Name:GELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ISAAC
Other - Middle Name:
Other - Last Name:GELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:2500 JOHNSON AVE APT 18N
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4982
Mailing Address - Country:US
Mailing Address - Phone:917-733-4961
Mailing Address - Fax:
Practice Address - Street 1:2500 JOHNSON AVE APT 18N
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-4982
Practice Address - Country:US
Practice Address - Phone:917-733-4961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057505-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker