Healthcare Provider Details

I. General information

NPI: 1548344187
Provider Name (Legal Business Name): HAROLD ROSENTHAL, P.T., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 BROADWAY SUITE 404
NEW YORK NY
10023-1786
US

IV. Provider business mailing address

77 PARK TER E #D56 & 66
NEW YORK NY
10034-1453
US

V. Phone/Fax

Practice location:
  • Phone: 212-304-4467
  • Fax: 212-304-0814
Mailing address:
  • Phone: 212-304-4467
  • Fax: 212-304-0814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number88401
License Number StateNY

VIII. Authorized Official

Name: MR. HAROLD ROSENTHAL
Title or Position: PRESIDENT
Credential: P.T.
Phone: 212-304-4467