Individual
DR. KELLIE NICOLE GERGOUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSCR
Contact information
Practice address
1 PARK AVE FL 8, NEW YORK, NY 10016-5802
(212) 263-7419
(212) 263-7460
Mailing address
1 PARK AVE FL 8, NEW YORK, NY 10016-5802
(212) 263-7419
(212) 263-7460
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
318870
NY
Other
Enumeration date
04/22/2019
Last updated
09/19/2024
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