YULY GERTSBERG ORAL SURGERY PC


Address: 1302 Kings Hwy, 6 Floor, Brooklyn, NY 11229-1964
Phone: 7189982929

YULY GERTSBERG ORAL SURGERY PC (NPI# 1578734679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578734679
Entity Type Organization
Organization Name YULY GERTSBERG ORAL SURGERY PC
Practice Address 1302 Kings Hwy
6 Floor
Brooklyn
NY 11229-1964
Practice Telephone 7189982929
Practice Fax Number 7189981056
Mailing Telephone 7189982929
Mailing Fax Number 7189981056
Enumeration Date 2008-03-17
Last Update Date 2008-03-17
Authorized Official Name YULY GERTSBERG (ORAL SURGEON)
Authorized Official Telephone 7189982929
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
045056 NY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 01759237 05
NY AMERICHOICE D000201-01 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356664031 Yuly Gertsberg Oral Surgery PC Dentist 1720 E 13th St Ste 1, Brooklyn, NY 11229-1920 2010-03-09

Office Location

Street Address 1302 KINGS HWY
6 FLOOR
City BROOKLYN
State NY
Zip Code 11229-1964

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1225349749 Chandra G Fletcher Occupational Therapist 1302 Kings Hwy, Brooklyn, NY 11229 2010-06-30
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1215136031 Yelena Spivak Physician Assistant 1302 Kings Hwy, Brooklyn, NY 11229-1960 2007-07-12
1417072513 Aem Optical Inc Optometrist 1302 Kings Hwy, Brooklyn, NY 11229-1960 2007-03-20
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1164848453 Pbgs, LLC Clinic/Center 14 Dekalb Ave, 4th Floor, Brooklyn, NY 11201-5311 2014-03-11
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1316259831 758 Medical Services PC Clinic/Center 758 56th St, Brooklyn, NY 11220-3504 2010-07-13
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1942363098 Beth Israel Ambulatory Care Services Corp Clinic/Center 3121 Kings Highway, Beth Israel Ambulatory Care Services Corp, Brooklyn, NY 11234-2644 2006-12-19
1710979109 Sheepshead Bay Surgery Center, Inc. Clinic/Center 2269 Ocean Ave, Brooklyn, NY 11229-3103 2005-08-22
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Competitor

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City BROOKLYN
Zip Code 11229

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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