Rosenblatt, Marc J
Rosenblatt, Marc J is an sole proprietor health care provider with primary practice located at 873 N Main St Ste 102 , Spring Valley NY 10977-1905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Rosenblatt, Marc J can be contacted via phone (845) 521-1542.Contact Information
Primary practice address
873 N Main St Ste 102
Spring Valley NY 10977-1905
Phone: (845) 521-1542
Fax: (845) 354-3808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 148797 | New York |
Profile Details
| NPI number | 1164422895 |
|---|---|
| LBN Legal business name | Rosenblatt, Marc J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jun 3rd, 2021 - about 5 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 | 1164422895 | NPPES |
| New York | MEDICAID | 01453112 | |
| New York | MEDICAID | 101432500 |
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