Organization
BORO PARK DENTAL ASSOC.
Active
Other names
Boro Park Orthodontic Assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP ROSENBERG DDS (OWNER)
(718) 871-6663
Entity
Organization
Contact information
Practice address
1520 50TH ST, BROOKLYN, NY 11219-3745
(718) 871-6663
(718) 431-2452
Mailing address
1520 50TH ST, BROOKLYN, NY 11219-3745
(718) 871-6663
(718) 431-2452
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00301428
—
NY
05
—
03448359
—
NY
05
—
03534690
—
NY
Enumeration date
01/22/2015
Last updated
01/22/2015
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