Individual
LOUIS GREENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
533 ROUTE 111, HAUPPAUGE, NY 11788-4350
(631) 366-1788
Mailing address
533 ROUTE 111, HAUPPAUGE, NY 11788-4350
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
156102
NY
Other
Enumeration date
07/13/2006
Last updated
08/24/2010
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