Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 030110 | NY |
NPI | 1306908777 |
---|---|
Provider Name | Dr. Alvin Kenneth Aronoff |
First Address | New City, NY 10956 |
Second Address | New City, NY 10956 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 08/07/2007 |