Greenblatt, Paul David

Greenblatt, Paul David is an sole proprietor health care provider with primary practice located at 1855 Union Blvd , Bay Shore NY 11706-7949. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Greenblatt, Paul David can be contacted via phone (631) 665-3666.

Contact Information

Primary practice address
1855 Union Blvd Bay Shore NY 11706-7949
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 143934 New York

Profile Details

NPI number 1336136787
LBN Legal business name Greenblatt, Paul David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Feb 1st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336136787 NPPES
New York MEDICAID 00705528

Popular Providers