MR. BRETT KORNBLUM
NPI 1508313958
Specialist in Oceanside, NY

Active since September 01, 2016
146 VIRGINIA AVE, OCEANSIDE, NY 11572(516) 314-1234 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brett Kornblum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRETT KORNBLUM (NPI 1508313958) is an individual specialist in Oceanside, New York, licensed in New York (946490151) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1508313958
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. BRETT KORNBLUM
Location Address146 VIRGINIA AVEOceanside, NY 11572-5433
Mailing Address146 Virginia AveOceanside, NY 11572-5433
Sole ProprietorYes
Enumeration DateSeptember 1, 2016
NPI 1508313958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 946490151
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
146 VIRGINIA AVE, Oceanside, NY 11572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brett Kornblum's NPI number?

The NPI number for Brett Kornblum is 1508313958. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Brett Kornblum located?

Brett Kornblum practices at 146 Virginia Ave, Oceanside, NY 11572. The listed phone number is (516) 314-1234.

What is Brett Kornblum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Brett Kornblum was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.