Provider Demographics
NPI:1134329568
Name:ROSENBERG, LINDA RUTH (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:RUTH
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:345 E 24TH ST
Mailing Address - Street 2:PEDIATRIC DENTISTRY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4020
Mailing Address - Country:US
Mailing Address - Phone:212-998-9656
Mailing Address - Fax:212-995-4364
Practice Address - Street 1:345 E 24TH ST
Practice Address - Street 2:PEDIATRIC DENTISTRY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4020
Practice Address - Country:US
Practice Address - Phone:212-998-9656
Practice Address - Fax:212-995-4364
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0320911223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry