Individual
JAY IRWIN GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
102 SALEM RD, NEW CANAAN, CT 06840-4317
(203) 912-2951
Mailing address
102 SALEM RD, NEW CANAAN, CT 06840-4317
(203) 912-2951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028689-1
NY
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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