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Individual

MINDY H ROSENTHAL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
C.N., R.D.

Contact information

Practice address
7030 173RD ST, FLUSHING, NY 11365-3450
(718) 591-6321
(718) 591-6321
Mailing address
7030 173RD ST, FLUSHING, NY 11365-3450
(718) 591-6321
(718) 591-6321

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
000745
NY
133V00000X
Registered Dietitian
Primary
716993
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2181523
UNITED HEALTHCARE HEALTH
NY
01
2670370
CIGNA HEALTH PLAN
NY
01
68513
VYTRA HEALTH PLAN
NY
01
8000084
G.H.I. HEALTH PLAN
NY
01
P2002050
OXFORD HEALTH PLAN
NY
Enumeration date
01/06/2006
Last updated
06/29/2016
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