Individual
CAROLINE JEAN GELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 E MAIN ST, BAY SHORE, NY 11706-8402
(631) 390-7100
Mailing address
12 HASTINGS DR, RIDGE, NY 11961-1731
(631) 885-3991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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