Provider Demographics
NPI:1487746426
Name:ROKHSAR, YOUSEF (DDS)
Entity type:Individual
Prefix:DR
First Name:YOUSEF
Middle Name:
Last Name:ROKHSAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:ROKHSAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:100-11 67TH RD
Mailing Address - Street 2:SUITE #123
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-897-5391
Mailing Address - Fax:718-897-5391
Practice Address - Street 1:100-11 67TH RD
Practice Address - Street 2:SUITE #123
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-897-5391
Practice Address - Fax:718-897-5391
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27840122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist