Individual
DR. JACOB NAGELBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1524 56TH ST, BROOKLYN, NY 11219-4737
(718) 851-0910
(718) 851-3897
Mailing address
1540 EAST 21 ST, BROOKLYN, NY 11210-5036
(718) 851-0910
(718) 851-3897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036780
NY
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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