# RALPH AVE URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KORNBLIT MEDICAL PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437738507
- **Legal business name:** KORNBLIT MEDICAL PC
- **Authorized official:** ARTHUR KORNBLIT MD (OWNER)
- **Authorized official phone:** (516) 376-2453

## Contact information

- **Practice address:** 1647 RALPH AVE, BROOKLYN, NY 11236
- **Practice address phone:** (718) 682-3888
- **Practice address fax:** (516) 623-4600
- **Mailing address:** 3209 MILBURN AVE, BALDWIN, NY 11510
- **Mailing address phone:** (516) 867-6868
- **Mailing address fax:** (516) 623-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2021
- **Last updated:** 04/06/2021
