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Individual

ROBERT S GOLDBLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18 RYE RIDGE PLAZA, RYE BROOK, NY 10573
(914) 253-9252
(914) 253-9251
Mailing address
18 RYE RIDGE PLAZA, RYE BROOK, NY 10573
(914) 253-9252
(914) 253-9251

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
018598
CT
207RG0100X
Gastroenterology Physician
Primary
125876
NY
207RG0100X
Gastroenterology Physician
ME26108
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00502823
NY
01
010125876NY03
ANTHEM BC
CT
01
3V8391
BLUE CROSS
NY
01
P00076235
RAILROAD MEDICARE
CT
01
P00105669
RAILROAD MEDICARE
NY
Enumeration date
07/12/2006
Last updated
02/11/2008
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