Provider Demographics
NPI:1750477964
Name:ROSENWEIN, SARI ROBIN (DMD)
Entity Type:Individual
Prefix:
First Name:SARI
Middle Name:ROBIN
Last Name:ROSENWEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 ROYCE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6220
Mailing Address - Country:US
Mailing Address - Phone:718-531-4808
Mailing Address - Fax:718-968-2733
Practice Address - Street 1:245 FIFTH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1908
Practice Address - Country:US
Practice Address - Phone:718-789-5700
Practice Address - Fax:718-789-8968
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0364491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice