Organization
DANA GELLER DPT PLLC
Active
Other names
Bounce Back east physical therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA GELLER PT, DPT (PRESIDENT)
(917) 846-4907
Entity
Organization
Contact information
Practice address
18 WILLOWOOD CT, WESTHAMPTON, NY 11977-1012
(917) 846-4907
(631) 614-4077
Mailing address
18 WILLOWOOD CT, WESTHAMPTON, NY 11977-1012
(917) 846-4907
(631) 614-4077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013912-1
NYS DEPARTMENT OF EDUCATION
NY
Enumeration date
01/15/2020
Last updated
05/10/2021
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