Provider Demographics
NPI:1437421716
Name:ROTSTEIN, DALIA LIANN (MD)
Entity Type:Individual
Prefix:DR
First Name:DALIA
Middle Name:LIANN
Last Name:ROTSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 ST. CLAIR AVE. EAST
Mailing Address - Street 2:UNIT #2
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M4T 1P3
Mailing Address - Country:CA
Mailing Address - Phone:416-845-9338
Mailing Address - Fax:
Practice Address - Street 1:275 ST. CLAIR AVE. E
Practice Address - Street 2:UNIT #2
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M4T 1P3
Practice Address - Country:CA
Practice Address - Phone:416-845-9338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ861962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology