Martin Kornblatt O.D.

NPI 1144215922 - Optometrist - 152W00000X

NPI Details
NPI 1144215922
Gender Male
Enumeration Date 09/16/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
4202 MAIN ST
FLUSHING NY, 11355-3822, US
Phone (718) 539-5888
Fax (718) 463-2207
Business Location
4202 MAIN ST
FLUSHING NY, 11355-3822, US
Phone (718) 539-5888
Fax (718) 463-2207
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number TUV004300
Remove 1144215922 NPI Number
 

According to our database, Dr. Martin Kornblatt O.D. NPI is 1144215922, taxonomy code is 152W00000X and license number is TUV004300, license state is located at New York. Martin Kornblatt O.D. physically located at 4202 Main St, Flushing NY, 11355-3822. NPI Number Martin Kornblatt O.D. has the Individual type.

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1144215922 NPI number is provided on an as is basis without warranty of any kind. 1144215922 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Kornblatt O.D. are for informational purposes only.