Susan Roubicek in Staten Island - Orthodontics And Dentofacial Orthopedics

Susan Roubicek - NPI 1568540540

Susan Roubicek is a Orthodontics And Dentofacial Orthopedics in Staten Island, New York. Susan Roubicek practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Susan Roubicek is 1568540540. The last update date is 2007-07-08.

Susan Roubicek's current location address is 739 Woodrow Rd, Staten Island, New York. You can contact this provider via phone number 7183178524. The mailing address for Susan Roubicek is 739 Woodrow Rd, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Roubicek
Address 739 Woodrow Rd, Staten Island, New York
Phone Number 7183178524
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1568540540
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 739 Woodrow Rd
City Staten Island
State New York (NY)
Post Code 10312
Phone Number 7183178524
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 44226
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Susan Roubicek

What is the unique identification code assigned to Susan Roubicek by the Centers for Medicare & Medicaid Services?

The Susan Roubicek has been issued the NPI (National Provider Identifier) 1568540540. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Susan Roubicek is located?

The Susan Roubicek is situated at the following address: 739 Woodrow Rd, Staten Island, NY, 10312.

What is the Susan Roubicek's specialty and taxonomy code?

The Susan Roubicek's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.

On what date did the Susan Roubicek receive the assignment of its 1568540540 from the Centers for Medicare & Medicaid Services?

The Susan Roubicek was issued its 1568540540 by the Centers for Medicare & Medicaid Services on 2006-11-01.

As of what date were the details related to Susan Roubicek most recently updated or revised?

The information pertaining to Susan Roubicek, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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