Individual
MARC A ROSENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 E 72ND ST, 1D, NEW YORK, NY 10021-4245
(212) 472-8546
(212) 249-2233
Mailing address
114 E 72ND ST, 1D, NEW YORK, NY 10021-4245
(212) 472-8546
(212) 249-2233
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
154949
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01036837
—
NY
01
—
05899G
GHI-MEDICARE
NY
Enumeration date
11/03/2005
Last updated
02/24/2015
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