Individual
ALAN E ROITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776
(631) 928-7200
(631) 474-4613
Mailing address
3 ROOSEVELT AVE, PORT JEFFERSON STATION, NY 11776
(631) 928-7200
(631) 474-4613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
030242
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637701
—
NY
Enumeration date
08/28/2006
Last updated
07/08/2007
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