Organization
BAYSIDE ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA GELLERMAN DDS (OWNER)
(718) 631-0508
Entity
Organization
Contact information
Practice address
208-54 CROSS ISLAND PARKWAY, BAYSIDE, NY 11360
(718) 631-0508
(718) 631-0509
Mailing address
208-54 CROSS ISLAND PARKWAY, BAYSIDE, NY 11360
(718) 631-0508
(718) 631-0509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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