Individual
MARC J ROSENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
873 N MAIN ST STE 102, SPRING VALLEY, NY 10977-1905
(845) 521-1542
(845) 354-3808
Mailing address
983 HAVERSTRAW RD, SUFFERN, NY 10901-2200
(845) 825-6383
(845) 354-4808
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
148797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01453112
—
NY
05
—
101432500
—
FL
Enumeration date
07/22/2005
Last updated
06/03/2021
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