Provider Demographics
NPI:1285830208
Name:ROLNICK, JOSHUA STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:STEVEN
Last Name:ROLNICK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1949 NORSHON RD
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-4628
Mailing Address - Country:US
Mailing Address - Phone:516-610-3822
Mailing Address - Fax:
Practice Address - Street 1:1179 NEWBRIDGE RD
Practice Address - Street 2:
Practice Address - City:N BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1650
Practice Address - Country:US
Practice Address - Phone:516-221-2271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053945122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist