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NPI Code Detail

MEDICARE: ALAN J. ROSENTHAL DENTIST

MEDICARE:   ALAN J. ROSENTHAL  DENTIST
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
11223G0001XGeneral Practice Dentistry027123NY

General Provider Information

NPI Number : 1669677605
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN J. ROSENTHAL DENTIST
Provider Business Mailing Address
First Line : 3530 HENRY HUDSON PKWY
Second Line : SUITE 1G
City : BRONX
State : NY
Zip : 10463-1306
Country : US
Telephone Number : 171-854-3303
Fax Number : 171-854-3284
Provider Business Practice Location Address
First Line : 3530 HENRY HUDSON PKWY
Second Line :
City : BRONX
State : NY
Zip : 10463-1306
Country : US
Telephone Number : 171-854-3303
Fax Number : 171-854-3284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 07/08/2007

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Directions to “ ALAN J. ROSENTHAL DENTIST” Practice Location

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