Individual
DR. GREGG GREENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
512 7TH AVE, # 1404, NEW YORK, NY 10018-4603
(212) 768-8666
(212) 768-1223
Mailing address
49 HOLLYWOOD DR, PLAINVIEW, NY 11803-3701
(516) 644-5731
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005193
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01715140
—
NY
Enumeration date
06/16/2005
Last updated
06/16/2008
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