Kornblatt, Martin
Kornblatt, Martin is an individual health care provider with primary practice located at 4202 Main St , Flushing NY 11355-3822. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kornblatt, Martin can be contacted via phone (718) 539-5888.Contact Information
Primary practice address
4202 Main St
Flushing NY 11355-3822
Phone: (718) 539-5888
Fax: (718) 463-2207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV004300 | New York |
Profile Details
| NPI number | 1144215922 |
|---|---|
| LBN Legal business name | Kornblatt, Martin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144215922 | NPPES |
| New York | MEDICAID | 00822977 |
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