Roytberg, Simon
Roytberg, Simon is an individual health care provider with primary practice located at 375 W Route 59 , Spring Valley NY 10977-5360. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roytberg, Simon can be contacted via phone (845) 356-3353.Contact Information
Primary practice address
375 W Route 59
Spring Valley NY 10977-5360
Phone: (845) 356-3353
Fax: (845) 356-3376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 050677 | New York |
Profile Details
| NPI number | 1164443297 |
|---|---|
| LBN Legal business name | Roytberg, Simon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1164443297 | NPPES |
| New York | MEDICAID | 02521391 |
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