Kornblatt, Ralph
Kornblatt, Ralph is an sole proprietor health care provider with primary practice located at 374 New York Ave , Huntington NY 11743-3316. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kornblatt, Ralph can be contacted via phone (631) 421-0250.Contact Information
Primary practice address
374 New York Ave
Huntington NY 11743-3316
Phone: (631) 421-0250
Fax: (631) 421-0827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2358 | New York |
Profile Details
| NPI number | 1396782611 |
|---|---|
| LBN Legal business name | Kornblatt, Ralph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jun 23rd, 2008 - about 16 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 | 1396782611 | NPPES |
| New York | MEDICAID | 02243332 |
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