MEDICARE: DR. RUBY ALEXANDRA GELMAN D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	047967	NY

General Provider Information

NPI Number	:	1407076342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUBY ALEXANDRA GELMAN D.M.D.

Provider Business Mailing Address
First Line	:	49 W 12TH ST
Second Line	:	SUITE 1F
City	:	NEW YORK
State	:	NY
Zip	:	10011-8562
Country	:	US
Telephone Number	:	212-682-9555
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 W 12TH ST
Second Line	:	SUITE 1F
City	:	NEW YORK
State	:	NY
Zip	:	10011-8562
Country	:	US
Telephone Number	:	212-682-9555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	03/21/2016

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