Healthcare Provider Details

I. General information

NPI: 1235526690
Provider Name (Legal Business Name): ALEXANDER RAJIV TOTH D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2015
Last Update Date: 09/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 GARTH RD
SCARSDALE NY
10583-3750
US

IV. Provider business mailing address

1133 WARBURTON AVE APT 309S
YONKERS NY
10701-1155
US

V. Phone/Fax

Practice location:
  • Phone: 914-874-5757
  • Fax: 917-792-7979
Mailing address:
  • Phone: 518-364-7646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number060535
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: