Individual
DR. RENA MATISON GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1160 FIFTH AVENUE, STE 112, NEW YORK, NY 10029
(212) 828-7574
Mailing address
1160 FIFTH AVENUE, NEW YORK, NY 10029
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0091801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005235199
GHI
NY
Enumeration date
06/15/2007
Last updated
02/22/2012
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