| Marvin A. Gertzberg, D.d.s. | |
|
12498 Us Rte 9w West Coxsackie NY 12192 | |
| (518) 731-2797 | |
| (518) 731-9974 |
| Full Name | Marvin A. Gertzberg, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 12498 Us Rte 9w, West Coxsackie, New York |
| Authorized Official Name and Position | Marvin Gertzberg (OWNER) |
| Authorized Official Contact | 5187312797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin A. Gertzberg, D.d.s. 12498 State Rte 9w West Coxsackie NY 12192 Ph: (518) 731-2797 | Marvin A. Gertzberg, D.d.s. 12498 Us Rte 9w West Coxsackie NY 12192 Ph: (518) 731-2797 |
| NPI Number | 1477714236 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477714236 | NPI | - | NPPES |
| 00653301 | Medicaid | NY | |
| 03016671 | Medicaid | NY | |
| 00471898 | Medicaid | NY | |
| 02530990 | Medicaid | NY | |
| 1538231741 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 030835 (New York) | Primary |
| 122300000X | Dentist | 036653 (New York) | Secondary |
| 122300000X | Dentist | 044897 (New York) | Secondary |
New Baltimore Family Dentistry, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12498 Rt 9w, West Coxsackie, NY 12192 Phone: 518-731-2797 Fax: 518-731-9974 | |
Coxsackie Dental Arts Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12077 Route 9w, West Coxsackie, NY 12192 Phone: 518-731-8008 Fax: 518-731-6719 |