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Individual

ALLISON J GELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
54 W 89TH ST, NEW YORK, NY 10024-2083
(201) 693-6926
Mailing address
54 W 89TH ST, NEW YORK, NY 10024-2083
(201) 693-6926

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
014527
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014537
LICENSE #
NY
Enumeration date
08/23/2007
Last updated
08/23/2007
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