Individual
BRUCE ROSENZWEIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
145 COUNTRY CLUB DR, COMMACK, NY 11725-4458
(631) 513-7945
Mailing address
145 COUNTRY CLUB DR, COMMACK, NY 11725-4458
(631) 513-7945
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
027125
NY
Other
Enumeration date
09/11/2006
Last updated
01/12/2010
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