Marc J Rosenblatt
Pain Medicine
873 N Main St Ste 102
Spring Valley
, New York 10977-1905
Marc J Rosenblatt
Pain Medicine
873 N Main St Ste 102
Spring Valley
, New York 10977-1905
(845) 354-4808
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Marc J Rosenblatt
- 983 Haverstraw Rd
- Suffern, NY
- Zip : 10901-2200
- Fax : (845) 354-4808
- Phone : (845) 825-6383
Second Address
- Marc J Rosenblatt
- 873 N Main St Ste 102
- Spring Valley, NY
- Zip : 10977-1905
- Fax : (845) 354-3808
- Phone : (845) 521-1542
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 148797 | NY |
National Provider Identifier
| NPI | 1164422895 |
|---|---|
| Provider Name | Marc J Rosenblatt |
| First Address | Suffern, NY 10901-2200 |
| Second Address | Spring Valley, NY 10977-1905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2005 |
| Last Update Date | 03/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01453112 | (05) | NY |
| 101432500 | (05) | FL |
| D60683 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.