Provider Demographics
NPI:1720732886
Name:MICHAL F ROSENTHAL
Entity Type:Organization
Organization Name:MICHAL F ROSENTHAL
Other - Org Name:MICHAL FRANKEL ROSENTHAL, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHAL
Authorized Official - Middle Name:FRANKEL
Authorized Official - Last Name:ROSENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW
Authorized Official - Phone:516-591-5554
Mailing Address - Street 1:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-0385
Mailing Address - Country:US
Mailing Address - Phone:516-591-5554
Mailing Address - Fax:
Practice Address - Street 1:200 S SERVICE RD STE 211
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2118
Practice Address - Country:US
Practice Address - Phone:516-591-5554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty