Provider Demographics
NPI:1164787644
Name:ROSENBLATT, ESTHER (MS)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:ROSENBLATT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5609 15TH AVE
Mailing Address - Street 2:5B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4749
Mailing Address - Country:US
Mailing Address - Phone:347-512-8313
Mailing Address - Fax:718-633-5189
Practice Address - Street 1:5609 15TH AVE
Practice Address - Street 2:5B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4749
Practice Address - Country:US
Practice Address - Phone:347-512-8313
Practice Address - Fax:718-633-5189
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist