Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | 074702-1 | NY |
Y | 1041C0700X | Clinical Social Worker | 44SC05229300 | NJ |
NPI | 1003024217 |
---|---|
Provider Name | Ms. Cindy Carla Gelber |
First Address | New York, NY 10016-2188 |
Second Address | Rutherford, NJ 07070-1714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2007 |
Last Update Date | 09/09/2008 |