Kornblatt, Jacquelyn Sue

Kornblatt, Jacquelyn Sue is an sole proprietor health care provider with primary practice located at 145 Commack Rd , Commack NY 11725-3438. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Kornblatt, Jacquelyn Sue can be contacted via phone (631) 499-5360.

Contact Information

Primary practice address
145 Commack Rd Commack NY 11725-3438
Phone: (631) 499-5360
Fax: (631) 499-5568
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1407092190
LBN Legal business name Kornblatt, Jacquelyn Sue
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2008
Last updated Dec 30th, 2008 - about 17 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.

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