Individual
DR. HOWARD ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
205 E 111TH ST, NEW YORK, NY 10029-2901
(212) 722-8778
Mailing address
11 OAK SPRING RD, WEST NYACK, NY 10994-1208
(212) 722-8778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
033815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00344578
—
NY
Enumeration date
11/20/2006
Last updated
07/09/2007
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