Provider Demographics
NPI:1346427572
Name:GASCOIGNE, ROXENE S (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROXENE
Middle Name:S
Last Name:GASCOIGNE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:70 GLEN COVE ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577
Mailing Address - Country:US
Mailing Address - Phone:516-484-2111
Mailing Address - Fax:516-484-4264
Practice Address - Street 1:70 GLEN COVE ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577
Practice Address - Country:US
Practice Address - Phone:516-484-2111
Practice Address - Fax:516-484-4264
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0525661223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics