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NPI Code Detail

MEDICARE: SARAH ROSENBLATT LAC

MEDICARE: SARAH ROSENBLATT LAC
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
1171100000XAcupuncturist007552NY

General Provider Information

NPI Number : 1952119562
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ROSENBLATT LAC
Provider Business Mailing Address
First Line : 215 GREENE AVE APT 4
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-1221
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 181 LEXINGTON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-6446
Country : US
Telephone Number : 862-252-1230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2024
Last Update Date : 12/28/2024

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