Individual
DR. MARILYN IPPOLITO GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
200 FRONT STREET, SUITE C, VESTAL, NY 13850
(607) 754-2313
(607) 754-6926
Mailing address
200 FRONT STREET, SUITE C, VESTAL, NY 13850
(607) 754-2313
(607) 754-6926
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0068391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00642508
—
NY
Enumeration date
12/12/2006
Last updated
07/08/2007
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