DR. TREVOR ROBERT GOTTFRIED (NPI# 1962678763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962678763 |
Entity Type | Individual |
Full Name | DR. TREVOR ROBERT GOTTFRIED |
Credential | DDS, MS |
Practice Address |
2615 23rd Ave Astoria NY 11105-3124 |
Practice Telephone | 7182670641 |
Mailing Telephone | 7182670641 |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-05-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
039301-1 | NY | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01574538 | 05 |
Street Address |
2615 23RD AVE |
City | ASTORIA |
State | NY |
Zip Code | 11105-3124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699941492 | Marina Mazianitou Gottfried | Dentist | 2615 23rd Ave, Astoria, NY 11105-3124 | 2008-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639640345 | Bridget Mackin | Counselor | 2263 41st Street, Apt 1f, Astoria, NY 11105 | 2018-12-07 |
1487154597 | Five Star Assessment Corp | Specialist/Technologist | 2135 47 Street, Suite 2, Astoria, NY 11105 | 2018-02-15 |
1154843076 | Stefania Anne Vendome | Physician Assistant | 23-38 28th Street, Astoria, NY 11105 | 2017-07-12 |
1164942330 | Kara Lorraine Gerbino | Registered Nurse | 2325 31st St Ste 301, Astoria, NY 11105 | 2017-06-20 |
1669908828 | Gerlie H Estores | Licensed Practical Nurse | 2257 23rd Street, 2nd Floor, Astoria, NY 11105 | 2017-05-10 |
1558809665 | Tasrina Khan | Behavioral Analyst | 24-13 23rd Ave, Astoria, NY 11105 | 2017-02-09 |
1356892988 | Maria Tsoukias | Behavioral Analyst | 21-21 24th Street, Astoria, NY 11105 | 2016-10-19 |
1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
1194185363 | Sisters of The Good Shepherd | Social Worker | 25-30 21 Avenue, Astoria, NY 11105 | 2016-03-02 |
1154741551 | Latifat Okeke | Nurse Practitioner | 49-04 19th Ave, Rikers Island Correctional Facility, Astoria, NY 11105 | 2014-04-24 |
Find all providers in zip 11105 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215356621 | Patricia Ortiz Diaz | Dentist | 3119 Newtown Ave Ste 200, Astoria, NY 11102-1392 | 2014-04-14 |
1043565575 | Queens Orthodontics | Dentist | 3097 Steinway St, 2nd Floor, Astoria, NY 11103-3440 | 2012-07-20 |
1891099081 | Robert J. Lopatkin Dds PC | Dentist | 2312 31st St, Astoria, NY 11105-2842 | 2011-01-02 |
1790970374 | Efstathios Giannoutsos | Dentist | 2161 46th St, Astoria, NY 11105-1333 | 2007-09-07 |
1093905788 | Patrick Ray Harrison | Dentist | 762 Niagara Ave, Astoria, OR 97103-5119 | 2007-07-28 |
1740336775 | Joseph Anthony Salierno | Dentist | 3045 35th St, Astoria, NY 11103-4701 | 2007-01-25 |
1225124282 | Tamar Bryk | Dentist | 3122 Steinway St, Astoria, NY 11103-3909 | 2006-10-05 |
1316544943 | All Smiles Orthodontics, Pllc | Dentist | 2312 31st St, Astoria, NY 11105-2768 | 2020-10-06 |
1871136242 | Kyung Jin Lee | Dentist | 3097 Steinway St, Astoria, NY 11103-3440 | 2019-10-17 |
1841676855 | Sara Sullivan | Dentist | 3097 Steinway St, 2nd Floor, Astoria, NY 11103-3440 | 2015-08-03 |
Find all providers in ASTORIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.