Provider Demographics
NPI:1558533828
Name:MIRIAM ARONOFF DDS PLLC
Entity Type:Organization
Organization Name:MIRIAM ARONOFF DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARONOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-712-5133
Mailing Address - Street 1:1 FLETCHER RD
Mailing Address - Street 2:APT C
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3202
Mailing Address - Country:US
Mailing Address - Phone:845-712-5133
Mailing Address - Fax:845-712-5230
Practice Address - Street 1:1 FLETCHER RD
Practice Address - Street 2:APT C
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3202
Practice Address - Country:US
Practice Address - Phone:845-712-5133
Practice Address - Fax:845-712-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049688122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02249576Medicaid