Provider Demographics
NPI:1023033941
Name:MAIMONE, ROSEANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROSEANN
Middle Name:
Last Name:MAIMONE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 PLEASANTVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1603
Mailing Address - Country:US
Mailing Address - Phone:914-923-4900
Mailing Address - Fax:914-923-3366
Practice Address - Street 1:1117 PLEASANTVILLE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1603
Practice Address - Country:US
Practice Address - Phone:914-923-4900
Practice Address - Fax:914-923-3366
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0506651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice