Provider Demographics
NPI:1144825175
Name:CABRERA, GEISA M
Entity type:Individual
Prefix:MS
First Name:GEISA
Middle Name:M
Last Name:CABRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 DELANO AVE W APT 2FL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3826
Mailing Address - Country:US
Mailing Address - Phone:347-833-7487
Mailing Address - Fax:
Practice Address - Street 1:412 E 147TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4158
Practice Address - Country:US
Practice Address - Phone:347-833-7487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health