Most Relevant Information
Provider Data
| NPI Number: | 1003478496 |
| Provider Name: | MEGAN GELLMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 30549 |
Most Important Dates
| Enumeration Date: | 07/05/2019 |
| Last Updated: | 05/08/2020 |
Provider Practice Location
11630 SUTPHIN BLVD
JAMAICA
NY
114341527
Practice Location Phone/Fax
| Phone: | 7183222500 |
| Fax: | 7183221881 |
Provider Mailing Location
11630 SUTPHIN BLVD
JAMAICA
NY
114341527
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |