Individual
MR. GERALD FITERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
165 E 116TH ST, NEW YORK, NY 10029-1358
(212) 722-0404
(212) 722-0703
Mailing address
165 E 116TH ST, NEW YORK, NY 10029-1358
(212) 722-0404
(212) 722-0703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
024756
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00291658
—
NY
Enumeration date
08/21/2007
Last updated
08/21/2007
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