Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 142955 | NY |
NPI | 1023069846 |
---|---|
Provider Name | Dr. Jeanne Lorraine Rosenthal |
First Address | New York, NY 10003-5944 |
Second Address | New York, NY 10003-5944 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 30/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01046006 | (05) | NY |
B79900 | (02) |