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NPI Code Detail

MEDICARE: MICHAEL L GELB DDS MS P C

MEDICARE: MICHAEL L GELB DDS MS P C
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
11223S0112XOral and Maxillofacial Surgery (Dentist)
2261QP3300XPain Clinic/Center
3332BC3200XCustomized Equipment (DME)

General Provider Information

NPI Number : 1689074551
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL L GELB DDS MS P C
Provider Business Mailing Address
First Line : 12 OLD MAMARONECK RD
Second Line : STE 1C
City : WHITE PLAINS
State : NY
Zip : 10605-2010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12 OLD MAMARONECK RD
Second Line : STE 1C
City : WHITE PLAINS
State : NY
Zip : 10605-2010
Country : US
Telephone Number : 212-752-1662
Fax Number :
Authorized Official
Title or Position : PROPRIETOR
Name : DR. MICHAEL GELB
Credential : DDS, MS
Telephone Number : 212-752-1661
Provider Enumeration Date : 08/28/2014
Last Update Date : 09/17/2014

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