Provider Demographics
NPI:1750370979
Name:GELFAND, OLGA (DDS)
Entity type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:GELFAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1229
Mailing Address - Country:US
Mailing Address - Phone:718-951-2261
Mailing Address - Fax:718-951-2018
Practice Address - Street 1:2101 KINGSWAY PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-1017
Practice Address - Country:US
Practice Address - Phone:718-951-2261
Practice Address - Fax:718-951-2018
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0484091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice