Individual
DR. ROGER ALAN BRONSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 WEST 58TH ST, SUITE 1-C, NY, NY 10019
(212) 246-3486
(212) 974-8356
Mailing address
150 WEST 58TH ST, SUITE 1-C, NY, NY 10019
(212) 246-3486
(212) 974-8356
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
NY DO32820
NY
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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