MEDICARE: DR. SHELDON A. ROSENTHAL M.D.,F.A.C.S.

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	174400000X	Specialist	101766	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	:	1699845347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELDON A. ROSENTHAL M.D.,F.A.C.S.

Provider Business Mailing Address
First Line	:	110 E 87TH ST
Second Line	:	APT. 10A
City	:	NEW YORK
State	:	NY
Zip	:	10128-4101
Country	:	US
Telephone Number	:	212-722-5640
Fax Number	:	718-821-0324

Provider Business Practice Location Address
First Line	:	359 STOCKHOLM ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-4024
Country	:	US
Telephone Number	:	718-821-3200
Fax Number	:	718-821-0324

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	03/01/2023

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