Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 309184 | NY |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301107374 | MI |
Y | 207YP0228X | Pediatric Otolaryngology | 309184 | NY |
NPI | 1750778890 |
---|---|
Provider Name | Dr. Catherine Mae Kelso Geller |
First Address | Detroit, MI 48201-2153 |
Second Address | New Hyde Park, NY 11042-1121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 12/03/2021 |