Jacquelyn Sue Kornblatt
Jacquelyn Sue Kornblatt is an Early Intervention Provider Agency in Commack, New York. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
145 Commack RdCommack, NY 11725-3438
Phone: (631) 499-5360
Fax: (631) 499-5568
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1407092190 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 30, 2008 |
| Last updated in NPPES | December 30, 2008 |
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