Charles Howard Kornblau, MD is a
Internal Medicine physician based in Woodridge, New York. Charles Howard Kornblau is licensed to practice in Michigan (license number 4301094020) and his current practice location is 2 First Street, Woodridge, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 434-3277.
NPI number for Charles Howard Kornblau is 1356585780 and his current mailing address is Po Box 101, Woodridge, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356585780.
Physician's Profile
Full Name | Charles Howard Kornblau |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 2 First Street, Woodridge, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356585780
- Provider Enumeration Date: 04/29/2009
- Last Update Date: 07/30/2020
Medical Identifiers
Medical identifiers for Charles Howard Kornblau such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356585780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 4301094020 (Michigan) | Secondary |
207R00000X | Internal Medicine | 4301094020 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Howard Kornblau is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charles Howard Kornblau, MD Po Box 101, Woodridge, NY 12789-0101 Ph: (845) 434-3277 | Charles Howard Kornblau, MD 2 First Street, Woodridge, NY 12789-0101 Ph: (845) 434-3277 |
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