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Marvin A. Gertzberg, D.d.s.

Marvin A. Gertzberg, D.d.s. is a health care provider in West Coxsackie, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 12498 Us Rte 9w, West Coxsackie, NY 12192, US
Practice Location Phone518-731-2797
Practice Location Fax518-731-9974
Legal Business NameMARVIN A. GERTZBERG, D.D.S.
NPI ?1477714236
Entity TypeOrganization
Enumeration Date ? Jun 24, 2008
Last Update Date ? Jul 26, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Marvin A. Gertzberg, D.d.s.

SpecialtySpecializationLicenseLicense State
Dentist 030835New York
Dentist 036653New York
Dentist 044897New York

legacy-id-icon Legacy Provider IDs of Marvin A. Gertzberg, D.d.s.

Provider IdIssuer StateIssuer TypeIssuer
00471898New YorkMedicaid
03016671New YorkMedicaid
00653301New YorkMedicaid
1538231741New YorkMedicaid
02530990New YorkMedicaid

official-icon Authorized Official of Marvin A. Gertzberg, D.d.s.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Marvin A. Gertzberg, D.d.s.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Marvin Gertzberg (DDS)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number518-731-2797