Organization
GELB REJUVENATION DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GELB D.D.S., M.S. (PROPRIETOR)
(212) 752-1661
Entity
Organization
Contact information
Practice address
635 MADISON AVE, 19TH FLOOR, NEW YORK, NY 10022-1009
(212) 752-1662
Mailing address
635 MADISON AVE, 19TH FLOOR, NEW YORK, NY 10022-1009
(212) 752-1662
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
11/17/2008
Last updated
08/20/2014
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