Provider Demographics
NPI:1982085619
Name:ROSENBLATT, MARY P (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:P
Last Name:ROSENBLATT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:PH 15 W-1574
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-5697
Mailing Address - Fax:212-342-3013
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:PH 15 W-1574
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-5697
Practice Address - Fax:212-342-3013
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2019-05-07
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Provider Licenses
StateLicense IDTaxonomies
NY296461-1207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology