Individual
DR. JASON DAVID ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
216 WILLIS AVE STE 1, ROSLYN HEIGHTS, NY 11577
(516) 625-3806
Mailing address
87 FOXWOOD DR, JERICHO, NY 11753-1113
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060355
NY
Other
Enumeration date
10/04/2016
Last updated
08/13/2019
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