Provider Demographics
NPI:1366269003
Name:GELMAN, RON (LMHC)
Entity type:Individual
Prefix:MR
First Name:RON
Middle Name:
Last Name:GELMAN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 LA BONNE VIE DR APT D
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-4352
Mailing Address - Country:US
Mailing Address - Phone:631-438-0457
Mailing Address - Fax:
Practice Address - Street 1:80 ORVILLE DR STE 100
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-2505
Practice Address - Country:US
Practice Address - Phone:631-408-1124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000228101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health