Healthcare Provider Details

I. General information

NPI: 1922807452
Provider Name (Legal Business Name): DEAN OSTROFSKY AGACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2025
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

50 W 93RD ST APT 5A
NEW YORK NY
10025-7618
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-5656
  • Fax:
Mailing address:
  • Phone: 516-491-6991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number2026071881
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: