Individual
ROBERT JOHN ROSENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 HATFIELD LN, SUITE 101, GOSHEN, NY 10924-6734
(845) 294-8888
(845) 294-1669
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
167335
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01072852A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
167335
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
334104
LA
207RP1001X
Pulmonary Disease Physician
167335
NY
207RP1001X
Pulmonary Disease Physician
334104
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01134610
—
NY
01
—
110035383
RAILROAD MEDICARE PIN
NY
05
—
300058494
—
IN
01
—
815500473
MEDICARE
IN
Enumeration date
01/13/2006
Last updated
10/26/2023
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