Healthcare Provider Details

I. General information

NPI: 1285806539
Provider Name (Legal Business Name): ARTHUR A KORNBLUTH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 5TH AVE SUITE 1B
NEW YORK NY
10128-0724
US

IV. Provider business mailing address

1150 5TH AVE SUITE 1B
NEW YORK NY
10128-0724
US

V. Phone/Fax

Practice location:
  • Phone: 212-369-2490
  • Fax: 212-831-3031
Mailing address:
  • Phone: 212-369-2490
  • Fax: 212-831-3031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER E LEGNANI
Title or Position: PRESIDENT
Credential: MD
Phone: 212-369-2490