| Doctor Name: | DR. DMITRY GORELIK |
| NPI Number: | 1629061064 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 232673 |
| Business Practice Address: | 2 Reads Way Ste 201 New Castle, DE - 197201607 |
| Business Phone Number: | 3027094709 |
| Business Fax Number: | 3027094551 |
| Mailing Address: | 2 Reads Way, Ste 201 NEW CASTLE |
| State: | DE |
| Postal Code: | 197201607 |
| Phone Number: | 3027094709 |
| Fax Number: | 3027094551 |
| NPI Enumeration Date: | 08/30/2005 |
| NPI Last Update Date: | 08/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 232673 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |