Individual
ARIELLE ROSENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 PEARSALL PL, LAWRENCE, NY 11559-1520
(516) 721-5671
Mailing address
263 PEARSALL PL, LAWRENCE, NY 11559-1520
(516) 721-5671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2020
Last updated
01/21/2021
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