Provider Demographics
NPI:1467458687
Name:ROSENFELD, ALAN I (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:I
Last Name:ROSENFELD
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 1:1114 ROUTE 9W S
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-4906
Mailing Address - Country:US
Mailing Address - Phone:914-772-7013
Mailing Address - Fax:
Practice Address - Street 1:516 ROUTE 303
Practice Address - Street 2:STE 3
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1353
Practice Address - Country:US
Practice Address - Phone:914-772-7013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0302441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice