Gelles, Jacob
Gelles, Jacob is an sole proprietor health care provider with primary practice located at 57 Jay St Apt 5D, Brooklyn NY 11201-1159. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gelles, Jacob can be contacted via phone (917) 225-0383.Contact Information
Primary practice address
57 Jay St Apt 5D
Brooklyn NY 11201-1159
Phone: (917) 225-0383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 015618 | New York |
Profile Details
| NPI number | 1770643553 |
|---|---|
| LBN Legal business name | Gelles, Jacob |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 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 | 1770643553 | NPPES |
| New York | Other | 015618 | LICENSE |
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