DR. DANIEL GREENBLATT (NPI# 1962638965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962638965 |
| Entity Type | Individual |
| Full Name | DR. DANIEL GREENBLATT |
| Credential | MD |
| Practice Address |
7b Johnson Rd Latham NY 12110-3003 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5187827733 |
| Practice Fax Number | 5187820800 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2018-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
240471 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BC | 312DU1 | 01 |
| NY | AETNA | 9735601 | 01 |
| NY | 03240411 | 05 | |
| NY | FIDELIS CARE NY | 120927000094 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856910 | Daniel Michael Greenblatt | Audiologist | 9777 N 91st St Ste 101, Scottsdale, AZ 85258-5087 | 2018-10-03 |
| Street Address |
7B JOHNSON RD |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992774780 | Catherine Canary | Pediatrics | 7b Johnson Rd, Latham, NY 12110-3003 | 2006-03-15 |
| 1063987915 | April Marie St. Peter | Nurse Practitioner | 7b Johnson Rd, Latham, NY 12110-3003 | 2018-10-08 |
| 1811478191 | Matthew Thomas Hickling | Nurse Practitioner | 7b Johnson Rd, Latham, NY 12110-3003 | 2018-08-24 |
| 1831615772 | Maude A Kaye | Nurse Practitioner | 7b Johnson Rd, Latham, NY 12110-3003 | 2017-08-22 |
| 1558886457 | Cheyenne Mackenzie Douglas | Nurse Practitioner | 7b Johnson Rd, Latham, NY 12110-3003 | 2017-08-11 |
| 1922451863 | Jillian Elyse Herrington | Nurse Practitioner | 7b Johnson Rd, Latham, NY 12110-3003 | 2016-07-15 |
| 1164704136 | Community Care Physicians, PC | Pediatrics | 7b Johnson Rd, Latham, NY 12110-3003 | 2011-09-15 |
| 1124266606 | Donna Ann Riccio | Specialist | 7b Johnson Rd, Latham, NY 12110-3003 | 2009-01-22 |
| 1831337310 | Linda Lee Gaidusek | Registered Nurse | 7b Johnson Rd, Latham, NY 12110-3003 | 2009-01-22 |
| 1538311782 | Susan J Hull | Specialist | 7b Johnson Rd, Latham, NY 12110-3003 | 2008-10-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689827644 | Gilda Guzman Neuhaus | Pediatrics | 16042 85th St, Howard Beach, NY 11414-3027 | 2008-11-03 |
| 1760687669 | Sharon Herzfeld | Pediatrics | 441 W End Ave Apt 1k, New York, NY 10024-5327 | 2007-06-19 |
| 1750414108 | Marilyn C Agin | Pediatrics | 107 W 90th St, Th-h, New York, NY 10024-1254 | 2007-03-14 |
| 1740276302 | Yuri Brosgol | Pediatrics | 30 W End Ave, Building 1, Brooklyn, NY 11235-4800 | 2005-09-20 |
| 1427050764 | David M Kaufman | Pediatrics | 3 E 83rd St, New York, NY 10028-0459 | 2005-06-01 |
| 1649776683 | Theraplay Developmental Resources, LLC | Pediatrics | 305 Spook Rock Rd, Suffern, NY 10901-4316 | 2018-03-30 |
| 1619339413 | Cristina Fernandez Carbonell | Pediatrics | 2001 Marcus Ave Ste W290, New Hyde Park, NY 11042-1098 | 2016-03-22 |
| 1831567809 | Aim Integrative Medicine | Pediatrics | 80 Crossways Park Dr, Woodbury, NY 11797-2047 | 2015-09-09 |
| 1306191119 | Jennifer Totran Nguyen | Pediatrics | 601 Elmwood Ave, Rochester, NY 14642 | 2012-07-17 |
| 1598067597 | Seedling Developmental, Inc. | Pediatrics | 679 Main St, Rear Suite, East Aurora, NY 14052-2404 | 2010-11-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.