Provider Demographics
NPI:1255411708
Name:ROSENTHAL, DAVID S (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:ROSENTHAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2201 HEMPSTEAD TPKE
Mailing Address - Street 2:NUMC DIV OF ENDOCRINOLOGY BOX 49
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1859
Mailing Address - Country:US
Mailing Address - Phone:516-572-6501
Mailing Address - Fax:516-296-4804
Practice Address - Street 1:2201 HEMPSTEAD TPKE
Practice Address - Street 2:NUMC DIV OF ENDOCRINOLOGY BOX 49
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1859
Practice Address - Country:US
Practice Address - Phone:516-572-6501
Practice Address - Fax:516-296-4804
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2014-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY095851207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01422260Medicaid
NY01422260Medicaid
NYC10211Medicare UPIN