Provider Demographics
NPI:1548498678
Name:SAROWITZ, ANDREW TODD (DDS)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:TODD
Last Name:SAROWITZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47E 167 ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452
Mailing Address - Country:US
Mailing Address - Phone:718-293-1603
Mailing Address - Fax:718-293-1602
Practice Address - Street 1:47E 167 ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452
Practice Address - Country:US
Practice Address - Phone:718-293-1603
Practice Address - Fax:718-293-1602
Is Sole Proprietor?:No
Enumeration Date:2009-06-27
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0551361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice