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Individual

ALAN JAY GELLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
17903 LINDEN BLVD, JAMAICA, NY 11434-1428
(718) 526-1000
Mailing address
280 GUY LOMBARDO AVE, APT 5E, FREEPORT, NY 11520-4955
(718) 526-1000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
030386-1
NY

Other

Enumeration date
06/06/2006
Last updated
07/08/2007
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