National Provider Identifier
Gregory Subtelny
Gregory Subtelny is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Ithaca, NY and a listed phone number of (607) 273-7333.
Profile Overview
- NPI
- 1740353218
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- November 15, 2006
- Last Updated
- July 08, 2007
Practice Location
- 436 N Aurora St
- Ithaca, NY 14850-4235
Phone: (607) 273-7333
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1740353218
- Entity Type
- Individual
- Last Name
- Subtelny
- First Name
- Gregory
- Mailing Street Address
- 436 N Aurora St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4235
- Mailing Country
- US
- Mailing Phone
- (607) 273-7333
- Practice Street Address
- 436 N Aurora St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4235
- Practice Country
- US
- Practice Phone
- (607) 273-7333
- Enumeration Date
- November 15, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)