Individual provider · Type 1 NPI

Brett Kornblum

Specialist · Oceanside, NY

NPI number 1508313958 Active

Practice location

146 Virginia Ave
Oceanside, NY 11572-5433

Call (516) 314-1234 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X946490151 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508313958

Brett Kornblum's National Provider Identifier is 1508313958, issued on Sep 1, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oceanside, NY. The record was last updated on Sep 1, 2016.