Individual provider · Type 1 NPI

Benjamin J. Kornblum

Family Nurse Practitioner · Ithaca, NY

NPI number 1093337446 Active

Practice location

302 W Seneca St
Ithaca, NY 14850-4130

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X346283 (NY)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1093337446

Benjamin J. Kornblum's National Provider Identifier is 1093337446, issued on May 8, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ithaca, NY. The record was last updated on Jul 30, 2020.