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Provider Information for 1760961254

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JULIA ROSENTHAL

Gender: FEMALE

Individual NPI: 1760961254

Calendar   Last Updated:  2020-09-02
  Certification Date:  2020-09-02

Details

Name Value
NPI 1760961254
Enumeration Date 2018-08-07
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 740 DEKALB AVE APT 701
BROOKLYN, NY 11216-1004
United States

Phone: 240-893-3830 | Fax:
View Map External Link
Primary Practice Address 740 DEKALB AVE APT 701
BROOKLYN, NY 11216-1004
United States

Phone: 240-893-3830 | Fax:
View Map External Link
Secondary Practice Address 110 E 42ND ST RM 1504
NEW YORK, NY 10017-8541
United States

Phone: #2123542622406 | Fax: 212-354-2752
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 225100000X - Physical Therapist NY 042074-1