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Mr. Brett Kornblum
Specialist in Oceanside, New York
NPI 1508313958

Brett Kornblum is a Specialist based in Oceanside, NY. Brett Kornblum practices in Oceanside, NY. The NPI Number for Brett Kornblum is 1508313958 and holds a License No. 946490151 (New York).

The current practice location address for Brett Kornblum is 146 Virginia Ave, Oceanside, NY and can be reached out via phone at 516-314-1234.

Location: 146 Virginia Ave, Oceanside, NY, 11572-5433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508313958
Provider Name
Brett Kornblum
Credential
Provider Entity Type
Individual
Gender
Male
Address
146 Virginia Ave, Oceanside, NY, 11572-5433
Phone Number
516-314-1234
Fax Number
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
146 Virginia Ave
City
Oceanside
State
New York
Zip
11572-5433
Phone Number
516-314-1234
Fax Number
person
Provider Business Mailing Address Details
Address
146 Virginia Ave
City
Oceanside
State
New York
Zip
11572-5433
Phone Number
516-314-1234
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
946490151 (New York)
Definition
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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