| Gelfman And Birnbaum Oral Surgery P.c. | |
|
1777 Ocean Pkwy Brooklyn NY 11223-2060 | |
| (718) 998-9114 | |
| (718) 998-3727 |
| Full Name | Gelfman And Birnbaum Oral Surgery P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1777 Ocean Pkwy, Brooklyn, New York |
| Authorized Official Name and Position | William Edward Gelfman (CEO) |
| Authorized Official Contact | 7189989114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gelfman And Birnbaum Oral Surgery P.c. 1777 Ocean Pkwy Brooklyn NY 11223-2060 Ph: (718) 998-9114 | Gelfman And Birnbaum Oral Surgery P.c. 1777 Ocean Pkwy Brooklyn NY 11223-2060 Ph: (718) 998-9114 |
| NPI Number | 1538339072 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Medicare PECOS PAC ID | 9436329448 |
|---|---|
| Medicare Enrollment ID | O20110831000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538339072 | NPI | - | NPPES |
| 02040095 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 024913 (New York) | Primary |
| Provider Name | Mark B Birnbaum |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043202179 PECOS PAC ID: 2961672985 Enrollment ID: I20110831000796 |
| Provider Name | Norman E Johnson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356333488 PECOS PAC ID: 6608046628 Enrollment ID: I20110902000007 |
| Provider Name | Steve Manzon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1811093404 PECOS PAC ID: 0143490169 Enrollment ID: I20110919000118 |
| Provider Name | Avi Feygin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396083952 PECOS PAC ID: 5092002535 Enrollment ID: I20160927000596 |
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