| Doctor Name: | DR. CELESTE REGINA GERTSEN |
| NPI Number: | 1083828446 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 0107281 |
| Business Practice Address: | 1227 Main St Suite 202 Port Jefferson, NY - 11777 |
| Business Phone Number: | 6316979740 |
| Business Fax Number: | |
| Mailing Address: | 8 Vidoni Drive, Dr Celeste Gertsen MOUNT SINAI |
| State: | NY |
| Postal Code: | 11766 |
| Phone Number: | 6316979740 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0107281 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |