Daniel Louis Rosinski, D.D.S.
Individual provider Active NPI Dentist · Phelps, NY
NPI 1841461654 · NPPES record last updated Mar 19, 2008
Key facts
- NPI
- 1841461654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 022495 (NY)
- Practice address
- 74 William Street Ext
Phelps, NY 14532-1132 - Phone
- (315) 548-3214
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022495 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 022495 | NY | Yes |
Addresses
Primary practice location
74 William Street Ext
Phelps, NY 14532-1132
Mailing address
74 William Street Ext
Phelps, NY 14532-1132
Phone (315) 548-3214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022495 | Medicaid | NY |
Other providers in Phelps, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.