Individual
DR. MICHAEL ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
107 W 82ND ST, 107, NEW YORK, NY 10024-5511
(646) 776-1780
Mailing address
107 W 82ND ST, 107, NEW YORK, NY 10024-5511
(646) 776-1780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019435
NY
Other
Enumeration date
02/15/2013
Last updated
05/18/2016
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