Individual
DR. ROGER LORBERBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
210 CORNELIA STREET, SUITE 402, PLATTSBURGH, NY 12901
(518) 563-7990
(518) 563-7992
Mailing address
210 CORNELIA STREET, SUITE 402, PLATTSBURGH, NY 12901
(518) 563-7990
(518) 563-7992
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
030547
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30547
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00374438
—
NY
Enumeration date
11/01/2006
Last updated
05/18/2009
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