Provider Demographics
NPI:1982877080
Name:MARRERO, CELESTE (PSYD)
Entity type:Individual
Prefix:MISS
First Name:CELESTE
Middle Name:
Last Name:MARRERO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:CELESTE
Other - Middle Name:
Other - Last Name:GALAGARZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:257 PARK AVE S
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7304
Mailing Address - Country:US
Mailing Address - Phone:212-677-8550
Mailing Address - Fax:212-677-5825
Practice Address - Street 1:257 PARK AVE S
Practice Address - Street 2:SUITE 302
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7304
Practice Address - Country:US
Practice Address - Phone:212-677-8550
Practice Address - Fax:212-677-5825
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool