Organization
SOUND SHORE GASTROENTEROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S GOLDBLATT MD (PRESIDENT)
(914) 253-9252
Entity
Organization
Contact information
Practice address
18 RYE RIDGE PLAZA, RYE BROOK, NY 10573
(914) 253-9252
Mailing address
18 RYE RIDGE PLAZA, RYE BROOK, NY 10573
(914) 253-9252
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02992
MEDICARE
CT
01
—
DA8846
RAILROAD MEDICARE
CT
01
—
DB4485
DB4485
NY
Enumeration date
07/10/2006
Last updated
02/11/2008
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