MEDICARE: SARI ROBIN ROSENWEIN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	036449	NY

General Provider Information

NPI Number	:	1750477964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARI ROBIN ROSENWEIN DMD

Provider Business Mailing Address
First Line	:	2035 ROYCE ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6220
Country	:	US
Telephone Number	:	718-531-4808
Fax Number	:	718-968-2733

Provider Business Practice Location Address
First Line	:	245 FIFTH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1908
Country	:	US
Telephone Number	:	718-789-5700
Fax Number	:	718-789-8968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	03/11/2013

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