Individual
HENRY A. GREENBLATT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 GIDNEY AVE, NEWBURGH, NY 12550-3701
(845) 561-1565
(845) 561-1578
Mailing address
400 GIDNEY AVE, NEWBURGH, NY 12550-3701
(845) 561-1565
(845) 561-1578
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
161043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01223005
—
NY
01
—
900361
MVP INSURANCE
NY
Enumeration date
09/23/2005
Last updated
07/08/2007
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