Provider Demographics
NPI:1427158500
Name:GELSI, TERESA MARIE (OPTICIAN)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:MARIE
Last Name:GELSI
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:468 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1126
Mailing Address - Country:US
Mailing Address - Phone:914-693-0035
Mailing Address - Fax:014-693-8186
Practice Address - Street 1:468 BROADWAY
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1126
Practice Address - Country:US
Practice Address - Phone:914-693-0035
Practice Address - Fax:914-693-8186
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004768156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician