| Kornblit Medical Pc | |
|
830 Atlantic Ave Baldwin NY 11510-4098 | |
| (516) 867-6868 | |
| Not Available |
| Full Name | Kornblit Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 830 Atlantic Ave, Baldwin, New York |
| Authorized Official Name and Position | Arthur Kornblit (OWNER) |
| Authorized Official Contact | 5168676868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kornblit Medical Pc 830 Atlantic Ave Baldwin NY 11510-4098 Ph: (516) 867-6868 | Kornblit Medical Pc 830 Atlantic Ave Baldwin NY 11510-4098 Ph: (516) 867-6868 |
| NPI Number | 1326318882 |
|---|---|
| Provider Enumeration Date | 12/30/2011 |
| Last Update Date | 12/30/2011 |
| Medicare PECOS PAC ID | 0547422826 |
|---|---|
| Medicare Enrollment ID | O20120502000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326318882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 153429 (New York) | Primary |
| Provider Name | Arthur Kornblit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255413050 PECOS PAC ID: 4981889193 Enrollment ID: I20110504000233 |
| Provider Name | Patricia Kornblit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285859025 PECOS PAC ID: 8527294271 Enrollment ID: I20131202001065 |
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