Individual
DR. GARY ALAN ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
228 EAST MAIN STREET, EAST ISLIP, NY 11730
(631) 581-8600
(631) 581-7674
Mailing address
228 EAST MAIN STREET, EAST ISLIP, NY 11730
(631) 581-8600
(631) 581-7674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0388861
NY
122300000X
Dentist
DI0150
NJ
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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