MEDICARE: NEIL STUART ROSENTHAL MD

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	2084N0400X	Neurology Physician	153624-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	OCO 447	OTHER	HEALTH NET
2	0754432002	OTHER	CIGNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	27948P	OTHER	HIP
5	498567	OTHER	AETNA USHC
6	96D631	OTHER	EMPIRE BCBS
7	NS2304	OTHER	OXFORD

General Provider Information

NPI Number	:	1275538332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL STUART ROSENTHAL MD

Provider Business Mailing Address
First Line	:	201 E 15TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-3723
Country	:	US
Telephone Number	:	212-260-5060
Fax Number	:	212-260-5090

Provider Business Practice Location Address
First Line	:	201 E 15TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-3723
Country	:	US
Telephone Number	:	212-260-5060
Fax Number	:	212-260-5090

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/02/2007

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