| Doctor Name: | DR. STUART IRA ROSENBLATT |
| NPI Number: | 1043502487 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 09234-1 |
| Business Practice Address: | 848 County Route 60 Greenwich, NY - 128345008 |
| Business Phone Number: | 5186923158 |
| Business Fax Number: | |
| Mailing Address: | 848 County Route 60, GREENWICH |
| State: | NY |
| Postal Code: | 128345008 |
| Phone Number: | 5186923158 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2011 |
| NPI Last Update Date: | 05/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 09234-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |