MEDICARE: NEIL S. ROSENTHAL, M.D., P.C.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0754432002	OTHER	CIGNA
2	96D631	OTHER	BLUE CROSS BLUE SHIELD
3	0C0447	OTHER	HEALTHNET
4	NS2304	OTHER	OXFORD
5	27948P	OTHER	HIP
6	498567	OTHER	AETNA/ US HEALTHCARE

General Provider Information

NPI Number	:	1518281070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIL S. ROSENTHAL, M.D., P.C.

Provider Business Mailing Address
First Line	:	201 E 15TH ST
Second Line	:	SUITE DR1
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	:	SUITE DR1
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	:	NEUROLOGIST
Name	:	NEIL S. ROSENTHAL
Credential	:	M.D.
Telephone Number	:	212-260-5060

Provider Enumeration Date	:	03/26/2010
Last Update Date	:	03/26/2010

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