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NPI Code Detail

MEDICARE: DINA HALPERN KORNBLAU M.D.

MEDICARE:   DINA HALPERN KORNBLAU  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0402XNeurology with Special Qualifications in Child Neurology Physician190290 1NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881663961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA HALPERN KORNBLAU M.D.
Provider Business Mailing Address
First Line : 7941 212TH ST
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-3505
Country : US
Telephone Number : 718-479-4541
Fax Number :
Provider Business Practice Location Address
First Line : 2385 ARTHUR AVE
Second Line : SUITE 206
City : BRONX
State : NY
Zip : 10458-8184
Country : US
Telephone Number : 718-220-9755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 01/23/2012

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Directions to “ DINA HALPERN KORNBLAU M.D.” Practice Location

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