MEDICARE: STUART A 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	207W00000X	Ophthalmology Physician	090757	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659356657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STUART A ROSENTHAL MD

Provider Business Mailing Address
First Line	:	171 RAMAPO RD
Second Line	:
City	:	GARNERVILLE
State	:	NY
Zip	:	10923
Country	:	US
Telephone Number	:	845-947-2240
Fax Number	:	845-947-2265

Provider Business Practice Location Address
First Line	:	171 RAMAPO RD
Second Line	:
City	:	GARNERVILLE
State	:	NY
Zip	:	10923
Country	:	US
Telephone Number	:	845-947-2240
Fax Number	:	845-947-2265

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

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	09/24/2009

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Directions to “ STUART A ROSENTHAL MD” Practice Location

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