Provider Demographics
NPI:1730297417
Name:ARONOFF, MIRIAM L (DDS)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:L
Last Name:ARONOFF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SECORA RD
Mailing Address - Street 2:A15
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3730
Mailing Address - Country:US
Mailing Address - Phone:845-406-3356
Mailing Address - Fax:
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:845-357-3251
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0496881223G0001X
NJ22DI02307900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223G0001XDental ProvidersDentistGeneral Practice
Not Answered122300000XDental ProvidersDentist