Individual
DR. JASON MICHAEL ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3503
(631) 968-3716
Mailing address
45 GARDINER RD, SMITHTOWN, NY 11787-2501
(631) 885-0422
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
253632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253632
STATES MEDICAL LICENSE
NY
Enumeration date
07/08/2008
Last updated
07/21/2022
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