Eleftherios S. Gavriil, DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

053186 Issued in NY

Legal business name

ELEFTHERIOS S. GAVRIIL, DDS PC

Practice address

2306 24TH Ave
1St Floor
Astoria, NY 11102-2834

Phone

(718) 440-3457

Fax

(718) 440-3458

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• East River Oral and Maxillofacial Surgery Doing business as

Locations

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"
        }
    ]
}

• Mahy Elaskandrany, PHARMD
• Khaled Omar Elbanna, MD
• Shahera Mohammed Eldeken I, A
• Eleanor D Yarisse
• Rena Eleazar, PT, DPT, CSCS
• Elite Medical & Rehab Services PC
• Mohamed Abdalla Elkaffas
• Elsa P Cruz MD PC
• Abeir Elsagheir
• Islam Elsaway, DPT

• Oral and Maxillofacial Surgery (Dentist) in Astoria, NY
• Providers in Astoria, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• 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.

Verify at the official NPI Registry.