Provider Demographics
NPI:1336741057
Name:DR ROSENFELD DENTAL PC
Entity type:Organization
Organization Name:DR ROSENFELD DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-772-7013
Mailing Address - Street 1:1114 ROUTE 9W S
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-4906
Mailing Address - Country:US
Mailing Address - Phone:914-772-7013
Mailing Address - Fax:845-353-6912
Practice Address - Street 1:1114 ROUTE 9W S
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-4906
Practice Address - Country:US
Practice Address - Phone:914-772-7013
Practice Address - Fax:845-353-6912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental