Provider Demographics
NPI:1740492560
Name:GELB, LAWRENCE B (DDS)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:B
Last Name:GELB
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 64TH ST APT 26A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7548
Mailing Address - Country:US
Mailing Address - Phone:203-610-1756
Mailing Address - Fax:
Practice Address - Street 1:300 E 64TH ST APT 26A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7548
Practice Address - Country:US
Practice Address - Phone:203-610-1756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT47521223P0300X
NY0310641223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics