Individual
YULY GERTSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1720 E 13TH ST STE 1, BROOKLYN, NY 11229-1920
(718) 998-2929
(718) 998-1056
Mailing address
1720 E 13TH ST STE 1, BROOKLYN, NY 11229-1920
(718) 998-2929
(718) 998-1056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
045056
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01759237
—
NY
Enumeration date
01/22/2007
Last updated
02/12/2019
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