Individual
DR. IRA STEPHEN ROSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-9898
Mailing address
29 CLINTON AVE, WARWICK, NY 10990-1603
(845) 986-5419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029246
NY
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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