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Individual

ALIZA REBECCA GELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(617) 548-0169
Mailing address
250 E 73RD ST APT 5D, NEW YORK, NY 10021-4311
(617) 548-0169

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034368
NY

Other

Enumeration date
09/07/2023
Last updated
09/25/2025
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