Individual
DR. DANIEL GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7B JOHNSON RD, LATHAM, NY 12110-3003
(518) 782-7733
(518) 782-0800
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
240471
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03240411
—
NY
01
—
120927000094
FIDELIS CARE NY
NY
01
—
312DU1
EMPIRE BC
NY
01
—
9735601
AETNA
NY
Enumeration date
06/04/2009
Last updated
01/18/2018
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