Provider Demographics
NPI:1932277506
Name:ROSENBLUM, LEVIN, BARNEY & HASTY, LTD
Entity Type:Organization
Organization Name:ROSENBLUM, LEVIN, BARNEY & HASTY, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:V
Authorized Official - Last Name:GALANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-474-1200
Mailing Address - Street 1:1055 KEMPSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-5501
Mailing Address - Country:US
Mailing Address - Phone:757-474-1200
Mailing Address - Fax:757-474-9392
Practice Address - Street 1:1055 KEMPSVILLE RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-5501
Practice Address - Country:US
Practice Address - Phone:757-474-1200
Practice Address - Fax:757-474-9392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9178571Medicaid