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Individual
MR. PETER GELLER
Active
Individual
MR. PETER GELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R029522-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139050
VALUEOPTIONS PROVIDER ID
NY
01
—
7481780
GHI INS. CO. PROVIDER ID
NY
01
—
MIS 207563000
MAGELLAN INS. PROVIDER ID
MO
Enumeration date
04/16/2007
Last updated
02/27/2020
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