Individual
INNA GELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
165 MAIN ST, HUNTINGTON, NY 11743-3570
(631) 427-8444
(631) 470-7837
Mailing address
165 MAIN ST, HUNTINGTON, NY 11743-3570
(631) 427-8444
(631) 470-7837
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
048684-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DI02165200
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DI02165201
NJ
Other
Enumeration date
09/26/2006
Last updated
06/29/2009
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