Organization
GARY A. ROSENFELD, DDS, PC
Active
Other names
Island Daily Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALAN ROSENFELD D.D.S. (PRESIDENT)
(631) 286-9000
Entity
Organization
Contact information
Practice address
2801 ROUTE 112, SUITE A, MEDFORD, NY 11763-2568
(631) 286-9000
Mailing address
2801 ROUTE 112, SUITE A, MEDFORD, NY 11763-2568
(631) 286-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
038886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0388861
LICENSE
NY
Enumeration date
03/02/2017
Last updated
03/02/2017
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