Doctor Name: | MS. AMY M ROSENTHAL |
NPI Number: | 1518387372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 467424 |
Business Practice Address: | 803 Grant Ave Lake Katrine, NY - 124495352 |
Business Phone Number: | 8453319370 |
Business Fax Number: | |
Mailing Address: | 27 Hardenburg Rd, ULSTER PARK |
State: | NY |
Postal Code: | 124875312 |
Phone Number: | 8453409639 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2014 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 467424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |