Individual
DR. ALLAN ROFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
56 ATLANTIC AVE, FREEPORT, NY 11520-5038
(516) 208-8300
Mailing address
289 MEADOWVIEW AVE, HEWLETT, NY 11557-2106
(516) 295-2257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01574827
—
NY
01
—
050591694
TAXID
NY
01
—
464065203
TAX
NY
Enumeration date
02/12/2007
Last updated
03/21/2016
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