Individual
BELA GERSHGORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4002
(718) 753-7227
Mailing address
1180 E BROADWAY APT 11, HEWLETT, NY 11557-2435
(718) 753-7227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
R074056-1
NY
1041C0700X
Clinical Social Worker
Primary
R074056-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02482873
—
NY
01
—
G300133806
MEDICARE
NY
Enumeration date
12/29/2006
Last updated
09/29/2025
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