Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Brett Kornblum

Individual provider Specialist · NPI 1508313958

Mr. Brett Kornblum is a Specialist in Oceanside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

146 Virginia Ave
Oceanside, NY 11572-5433
Phone: (516) 314-1234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 946490151 (NY)

Record details

NPI number1508313958
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016

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