Gershgorin, Bela
Gershgorin, Bela is an sole proprietor health care provider with primary practice located at 1612 Central Ave , Far Rockaway NY 11691-4002. 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) 753-7227.Contact Information
Primary practice address
1612 Central Ave
Far Rockaway NY 11691-4002
Phone: (718) 753-7227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 | Sep 29th, 2025 - about last year |
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 | 1235295544 | NPPES |
| New York | MEDICAID | 02482873 | |
| New York | Other | G300133806 |
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