Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 211127 | NY |
N | 2080P0204X | Pediatric Emergency Doctor | 211127 | NY |
NPI | 1053408146 |
---|---|
Provider Name | Michele L. Rosenthal |
First Address | New York, NY 10021-4870 |
Second Address | New York, NY 10021-4870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02192189 | (05) | NY |
I03380 | (02) | NY |