Provider Demographics
NPI:1902090012
Name:GERALD K. APPELLE, D.M.D.
Entity Type:Organization
Organization Name:GERALD K. APPELLE, D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:APPELLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-759-3883
Mailing Address - Street 1:515 MADISON AVE
Mailing Address - Street 2:SUITE 1225
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5403
Mailing Address - Country:US
Mailing Address - Phone:212-759-3883
Mailing Address - Fax:212-753-7614
Practice Address - Street 1:515 MADISON AVE
Practice Address - Street 2:SUITE 1225
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5403
Practice Address - Country:US
Practice Address - Phone:212-759-3883
Practice Address - Fax:212-753-7614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY268081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty