Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 201844 | NY |
NPI | 1023182201 |
---|---|
Provider Name | Dr. Pamela B Rosenthal |
First Address | New York, NY 10003-1831 |
Second Address | New York, NY 10003-1831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H82633 | (02) | NY |