Individual
DR. HENRY KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
32 GRAMERCY PARK S, NEW YORK, NY 10003-1707
(212) 982-0317
Mailing address
32 GRAMERCY PARK S, NEW YORK, NY 10003-1707
(212) 982-0317
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0030591
NY
103TP0814X
Psychoanalysis Psychologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030591
LIC #
NY
Enumeration date
02/23/2007
Last updated
09/11/2025
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