# YULY GERTSBERG ORAL SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356664031
- **Authorized official:** DR. YULY GERTSBERG DDS (ORAL SURGEON)
- **Authorized official phone:** (718) 998-2929

## Contact information

- **Practice address:** 1720 E 13TH ST STE 1, BROOKLYN, NY 11229-1920
- **Practice address phone:** (718) 998-2929
- **Practice address fax:** (718) 998-1056
- **Mailing address:** 1720 E 13TH ST STE 1, BROOKLYN, NY 11229-1920
- **Mailing address phone:** (718) 998-2929
- **Mailing address fax:** (718) 998-1056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 08/21/2019