Active NPI
Eleftherios S. Gavriil, DDS PC
Doing business as East River Oral and Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Astoria, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 053186
- Legal business name
- ELEFTHERIOS S. GAVRIIL, DDS PC
- Doing business as
- East River Oral and Maxillofacial Surgery
- Practice address
- 2306 24TH Ave
1St Floor
Astoria, NY 11102-2834 - Phone
- (718) 440-3457
- Fax
- (718) 440-3458
- NPI assigned
- Mar 6, 2013
- Last updated
- Mar 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eleftherios S Gavriil, D.D.S
- Title
- Owner
- Phone
- (718) 440-3457
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 053186 | NY | Primary |
Addresses
Primary practice location
2306 24TH Ave
1St Floor
Astoria, NY 11102-2834
Mailing address
2306 24TH Ave
1St Floor
Astoria, NY 11102-2834
Phone (718) 440-3457
Other names 1
- East River Oral and Maxillofacial Surgery
National Provider Directory
National Provider DirectoryLocations
2306 24th Ave
Fl 1
Astoria, NY 11102
Phone (718) 440-3457
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Astoria, NY
- NPI 1992834212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1497096168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 24TH AVE",
"address_2": "1ST FLOOR",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022834",
"telephone_number": "718-440-3457",
"fax_number": "718-440-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 24TH AVE",
"address_2": "1ST FLOOR",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022834",
"telephone_number": "718-440-3457",
"fax_number": "718-440-3458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEFTHERIOS S. GAVRIIL, DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-06",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "GAVRIIL",
"authorized_official_first_name": "ELEFTHERIOS",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-440-3457",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "053186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East River Oral and Maxillofacial Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.