Provider Demographics
NPI:1851799126
Name:ARONOFF, MARTIN ALBERT
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:ALBERT
Last Name:ARONOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 GREENE ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-4373
Mailing Address - Country:US
Mailing Address - Phone:212-226-5777
Mailing Address - Fax:212-226-3851
Practice Address - Street 1:72 GREENE ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4373
Practice Address - Country:US
Practice Address - Phone:212-226-5777
Practice Address - Fax:212-226-3851
Is Sole Proprietor?:No
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0321771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice