Provider Demographics
NPI:1871612754
Name:ROSENTHAL, MICHAL FRANKEL (MSSW)
Entity type:Individual
Prefix:MRS
First Name:MICHAL
Middle Name:FRANKEL
Last Name:ROSENTHAL
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-0385
Mailing Address - Country:US
Mailing Address - Phone:516-591-5554
Mailing Address - Fax:
Practice Address - Street 1:200 S SERVICE RD STE 211
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2118
Practice Address - Country:US
Practice Address - Phone:516-591-5554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0041371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
943710Medicare ID - Type Unspecified