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Amy Kornblit

Pediatrics in Cedarhurst, NY. Individual provider (NPI-1).

NPI number1972034635
StatusActive
Last updated in NPPESAug 18, 2022

Details

NPI
1972034635
Entity type
Individual (NPI-1)
Name
Amy Kornblit
Sex
Female
Sole proprietor
No
Enumeration date
Mar 24, 2017
Certification date
Aug 18, 2022
Last updated
Aug 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics303816NYYes

Practice location

571 Chestnut St
Cedarhurst, NY 11516-2223

Phone 516-698-9692

Mailing address

571 Chestnut St
Cedarhurst, NY 11516-2223

Phone 516-698-9692

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