Individual
DR. JEROLD BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC PT
Contact information
Practice address
18417 UNION TPKE, FRESH MEADOWS, NY 11366-1729
(718) 454-0737
(718) 454-1819
Mailing address
18417 UNION TURNPIKE, FRESH MEADOWS, NY 11366
(718) 454-0737
(718) 454-1819
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3458
NY
225100000X
Physical Therapist
6047
NY
Other
Enumeration date
05/08/2008
Last updated
09/03/2008
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