Geller, Marilyn Ippolito
Geller, Marilyn Ippolito is an individual health care provider with primary practice located at 200 Front Street Suite C, Vestal NY 13850. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Geller, Marilyn Ippolito can be contacted via phone (607) 754-2313.Contact Information
Primary practice address
200 Front Street Suite C
Vestal NY 13850
Phone: (607) 754-2313
Fax: (607) 754-6926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0068391 | New York |
Profile Details
| NPI number | 1528128071 |
|---|---|
| LBN Legal business name | Geller, Marilyn Ippolito |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528128071 | NPPES |
| New York | MEDICAID | 00642508 |
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