MEDICARE: MR. JOEL V. ROSENSTEIN P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	4001	NY

General Provider Information

NPI Number	:	1053311324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOEL V. ROSENSTEIN P.T.

Provider Business Mailing Address
First Line	:	1155 HILLSBORO MILE
Second Line	:	UNIT 106
City	:	HILLSBORO BEACH
State	:	FL
Zip	:	33062-1742
Country	:	US
Telephone Number	:	954-586-4013
Fax Number	:	845-368-2187

Provider Business Practice Location Address
First Line	:	28B INDIAN ROCK
Second Line	:
City	:	MONTEBELLO
State	:	NY
Zip	:	10901-4907
Country	:	US
Telephone Number	:	845-368-2180
Fax Number	:	845-368-2187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	01/23/2017

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