Individual
DR. JEFFREY CHRISTIAN ROSARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
66 COMMACK RD, SUITE 208, COMMACK, NY 11725-3405
(631) 462-7646
(631) 462-7643
Mailing address
66 COMMACK RD, SUITE 208, COMMACK, NY 11725-3405
(631) 462-7646
(631) 462-7643
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
048500
NY
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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