Provider Demographics
NPI:1487856662
Name:ORBACH, GIDEON (DC)
Entity Type:Individual
Prefix:DR
First Name:GIDEON
Middle Name:
Last Name:ORBACH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516C WHARTON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-5104
Mailing Address - Country:US
Mailing Address - Phone:646-641-3650
Mailing Address - Fax:703-997-6203
Practice Address - Street 1:2419 BALDWICK RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4139
Practice Address - Country:US
Practice Address - Phone:412-922-9355
Practice Address - Fax:703-922-9330
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104555980111N00000X
PADC008706111N00000X
NYX010410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor