=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558533828
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIRIAM ARONOFF DDS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2008
-----------------------------------------------------
Last Update Date | 03/27/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 FLETCHER RD APT C
-----------------------------------------------------
City | MONSEY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10952-3202
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-712-5133
-----------------------------------------------------
Fax | 845-712-5230
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 FLETCHER RD APT C
-----------------------------------------------------
City | MONSEY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10952-3202
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-712-5133
-----------------------------------------------------
Fax | 845-712-5230
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DENTIST/OWNER
-----------------------------------------------------
Name | DR. MIRIAM L ARONOFF
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 845-712-5133
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 049688
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------