Individual
DR. ALAN LEONARD ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6134 188TH ST, SUITE 201, FRESH MEADOWS, NY 11365-2726
(718) 454-6862
(718) 454-6939
Mailing address
6134 188TH ST, SUITE 201, FRESH MEADOWS, NY 11365-2726
(718) 454-6862
(718) 454-6939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
033692
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02410608
—
NY
Enumeration date
07/25/2006
Last updated
07/08/2007
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