33D1080242 CLIA NUMBER - KENNETH J ROSENTHAL MD PC

Laboratory Demographics

CLIA Number: 33D1080242

Facility Name: KENNETH J ROSENTHAL MD PC

Facility Address:
310 EAST SHORE ROAD, SUITE 102
GREAT NECK, NY
ZIP 11023
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Facility Phone Number: 516 466-8989

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295750230

Taxonomy: 207W00000X - Ophthalmology
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CLIA Record

Field Name	Field Value
CLIA Number	33D1080242
LAB Type	Physician Office
Facility Name	KENNETH J ROSENTHAL MD PC
Street	310 EAST SHORE ROAD, SUITE 102
City	GREAT NECK
State	NY
ZIP	11023
Phone	516 466-8989
CertificateType	4
CertificateEffectiveDate	8/20/2023
CertificateExpirationDate	8/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024