Roitman, Alan E
Roitman, Alan E is an individual health care provider with primary practice located at 3 Roosevelt Ave , Port Jefferson Station NY 11776. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Roitman, Alan E can be contacted via phone (631) 928-7200.Contact Information
Primary practice address
3 Roosevelt Ave
Port Jefferson Station NY 11776
Phone: (631) 928-7200
Fax: (631) 474-4613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 030242 | New York |
Profile Details
| NPI number | 1124136312 |
|---|---|
| LBN Legal business name | Roitman, Alan E |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124136312 | NPPES |
| New York | MEDICAID | 00637701 |
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