Provider Demographics
NPI:1033382403
Name:LINENBERG, COURTNEY KAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:KAY
Last Name:LINENBERG
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 1:128 W 73RD ST
Mailing Address - Street 2:APT 4A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3023
Mailing Address - Country:US
Mailing Address - Phone:646-244-9314
Mailing Address - Fax:
Practice Address - Street 1:654 MADISON AVE
Practice Address - Street 2:SUITE 1706
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8404
Practice Address - Country:US
Practice Address - Phone:212-421-9565
Practice Address - Fax:212-421-9568
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219391223E0200X
NY0532551223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics