Individual
DEBRA KORNBLUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1147 E 26TH ST, BROOKLYN, NY 11210-4608
(718) 207-7735
Mailing address
1147 E 26TH ST, BROOKLYN, NY 11210-4608
(718) 207-7735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017889
NY
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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