Individual
SARA GREENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
376 MONTAUK HWY, CENTER MORICHES, NY 11934-3537
(631) 874-0571
Mailing address
115 JACKIE CT, PATCHOGUE, NY 11772-3395
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009608-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AHY-896312001
PROFESSIONAL LIABILITY
NY
Enumeration date
01/25/2018
Last updated
01/25/2018
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