Gershgorin, Bela

Gershgorin, Bela is an sole proprietor health care provider with primary practice located at 2004 Seagirt Blvd , Far Rockaway NY 11691-2802. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gershgorin, Bela can be contacted via phone (718) 868-8668.

Contact Information

Primary practice address
2004 Seagirt Blvd Far Rockaway NY 11691-2802
Phone: (718) 868-8668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R074056-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X R074056-1 New York

Profile Details

NPI number 1235295544
LBN Legal business name Gershgorin, Bela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Feb 18th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235295544 NPPES
New York MEDICAID 02482873
New York Other G300133806

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