# NEW ROCHELLE DENTAL STUDIO PC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477804474
- **Authorized official:** DR. RUBEN D DIAZ (D.D.S)
- **Authorized official phone:** (917) 770-5946

## Contact information

- **Practice address:** 199 NORTH AVE, SUITE \#2, NEW ROCHELLE, NY 10801
- **Practice address phone:** (914) 633-5601
- **Practice address fax:** (914) 633-5222
- **Mailing address:** 199 NORTH AVE, SUITE \#2, NEW ROCHELLE, NY 10801
- **Mailing address phone:** (914) 633-5601
- **Mailing address fax:** (914) 633-5222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 048339-1 | NY | Yes |

## Other

- **Enumeration date:** 10/01/2012
- **Last updated:** 10/01/2012