Individual provider · Type 1 NPI
Gail Ellen Schupak, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · New York, NY
Practice location
30 Central Park S, Suite 6C
New York, NY 10019-1628
Fax (212) 980-8466
Mailing address
30 Central Park South, Suite 6C
New York, NY 10019-1628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 037952 (NY) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1194728196
Gail Ellen Schupak, DMD's National Provider Identifier is 1194728196, issued on May 23, 2005. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.