Roubicek, Susan

Roubicek, Susan is an individual health care provider with primary practice located at 739 Woodrow Rd , Staten Island NY 10312. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Roubicek, Susan can be contacted via phone (718) 317-8524.

Contact Information

Primary practice address
739 Woodrow Rd Staten Island NY 10312
Phone: (718) 317-8524
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 044226 New York
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DI17158 New Jersey
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 18098 Massachusetts

Profile Details

NPI number 1568540540
LBN Legal business name Roubicek, Susan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 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.

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