Provider Demographics
NPI:1669566121
Name:GELMAN, YEVGENIYA (DDS)
Entity type:Individual
Prefix:
First Name:YEVGENIYA
Middle Name:
Last Name:GELMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:YEVGENIYA
Other - Middle Name:
Other - Last Name:BABUSHKINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7601 3RD AVENUE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209
Mailing Address - Country:US
Mailing Address - Phone:718-833-3417
Mailing Address - Fax:718-833-3474
Practice Address - Street 1:7601 3RD AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209
Practice Address - Country:US
Practice Address - Phone:718-833-3417
Practice Address - Fax:718-833-3474
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0466241223G0001X
NJ22DI0200200122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist