Individual
MR. GRIGORIY GELFAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3530 FRANCIS LEWIS BLVD, SUITE 203, FLUSHING, NY 11358-1931
(718) 461-0100
Mailing address
3530 FRANCIS LEWIS BLVD, SUITE 203, FLUSHING, NY 11358-1931
(917) 841-9916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058030
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2014
Last updated
07/29/2015
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