Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 153961 | NY |
NPI | 1710987169 |
---|---|
Provider Name | Dr. David M Rosenthal |
First Address | Brooklyn, NY 11234-4338 |
Second Address | Brooklyn, NY 11234-4338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 12/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01348109 | (05) | NY |
300025377 | RAILROAD MEDICARE (01) | NY |
D91734 | (02) |