Individual
DANIEL E KOBLENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1037 MAIN ST, PEEKSKILL, NY 10566-2913
(914) 734-8800
(914) 734-8808
Mailing address
1200 BROWN ST, CREDENTIALING DEPT., PEEKSKILL, NY 10566-3617
(914) 734-8858
(914) 734-8745
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
110977
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NM
Enumeration date
07/13/2006
Last updated
07/09/2007
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