Organization Name: | STANLEY J. ROSINSKI, D.D.S., P.L.L.C. |
NPI Number: | 1194955500 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STANLEY J ROSINSKI (OWNER) |
Mailing Address: | 170 Main St New York Mills |
State: | NY US |
Postal Code: | 134171125 |
Phone Number: | 3157369544 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2009 |
NPI Last Update Date: | 07/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |