Individual
DR. RALPH KORNBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
374 NEW YORK AVE, HUNTINGTON, NY 11743-3316
(631) 421-0250
(631) 421-0827
Mailing address
374 NEW YORK AVE, HUNTINGTON, NY 11743-3316
(631) 421-0250
(631) 421-0827
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02243332
—
NY
Enumeration date
06/02/2006
Last updated
06/23/2008
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