Gallery 57 Dental

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

035303 Issued in NY

Legal business name

GALLERY 57 DENTAL

Practice address

24 W 57TH St
Suite 701
New York, NY 10019-3918

Phone

(212) 246-8700

Fax

(212) 246-8707

NPI assigned

Aug 30, 2011

Last updated

Aug 30, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mason Kostinsky

Title

Chief Operating Officer

Phone

(212) 246-8700

Specialties & licenses 2

Addresses

Practitioners 3

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.

• Andrew Koenigsberg, DDS

  • Dentist
  • New York, NY
  • NPI 1548515513
  NPD (past)
• Robert C Rawdin, D.D.S.

  • Prosthodontics
  • New York, NY
  • NPI 1265605828
  NPD (past)
• Lee E Wexler, D.D.S.

  • Dentist
  • New York, NY
  • NPI 1720376437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1760763148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W 57TH ST",
            "address_2": "SUITE 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193918",
            "telephone_number": "212-246-8700",
            "fax_number": "212-246-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W 57TH ST",
            "address_2": "SUITE 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193918",
            "telephone_number": "212-246-8700",
            "fax_number": "212-246-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERY 57 DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "KOSTINSKY",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "212-246-8700"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033746",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "035303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Hsin-Li Gallen, LAC
• Galleria Medical Associates PLLC
• Galleria Medical Group
• Galleria Pain Management Suite, P.C.
• Galleria Wellness Medical
• Elizabeth Galletta
• Joann M Galley, PSY D
• Galli Podiatric Foot and Ankle Associates,P.C
• Gabriela Galli
• Lucas Galli, MD

• Prosthodontics in New York, NY
• Providers in New York, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.