Gotham Oral & Maxillofacial Surgery P.C.

LBN: Gotham Oral & Maxillofacial Surgery P.C.
Gotham Oral & Maxillofacial Surgery P.C. is an health care organization with primary practice located at 563 E Tremont Ave , Bronx NY 10457-4655. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Gotham Oral & Maxillofacial Surgery P.C. can be contacted via phone (718) 466-4500, or through Gavriil, Eleftherios via phone (718) 466-4500.

Contact Information

Primary practice address
563 E Tremont Ave Bronx NY 10457-4655
Phone: (718) 466-4500
Fax: (917) 792-8502
Website:
Map and Directions
Authorized official contact:
Name: Gavriil, Eleftherios Doctor of Dental Surgery (DDS)
Phone: (718) 466-4500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 053186 New York

Profile Details

NPI number 1710246533
LBN Legal business name Gotham Oral & Maxillofacial Surgery P.C.
DBA Doing business as
Authorized official Gavriil, Eleftherios Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2012
Last updated May 14th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710246533 NPPES
New York MEDICAID 03399171

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