Provider Demographics
NPI:1801017678
Name:ROSENSTOCK, ARNOLD (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:
Last Name:ROSENSTOCK
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 1:93 HAMLET DRIVE
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4442
Mailing Address - Country:US
Mailing Address - Phone:631-499-1999
Mailing Address - Fax:
Practice Address - Street 1:DENTAL CENTER-BUILDING SERVICE 32BJ BENEFIT FUNDS
Practice Address - Street 2:101 AVENUE OF THE AMERICAS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1991
Practice Address - Country:US
Practice Address - Phone:212-388-2099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0309771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice