| NPI | 1689074551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GELB Proprietor 212-752-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-09-17 |