Individual
DR. CAROL L GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
258 HOOSICK ST, SUITE 100, TROY, NY 12180-2444
(518) 272-0232
(518) 272-4083
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
232325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02560218
—
NY
01
—
110625000014
FIDELIS
NY
01
—
240ZV1
EMPIRE BLUECROSS
NY
01
—
7680601
AETNA
NY
Enumeration date
04/05/2006
Last updated
01/18/2018
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