| Doctor Name: | DR. NEAL MARTIN BLACKSTEIN |
| NPI Number: | 1215028154 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C.H., P.D., M.S. |
| License Number: | 000315 |
| Business Practice Address: | 472 Kings Hwy Center For Personal Growth, Valley Cottage, NY - 109891439 |
| Business Phone Number: | 8452682802 |
| Business Fax Number: | |
| Mailing Address: | 12 Thornwood Dr, NEW CITY |
| State: | NY |
| Postal Code: | 109563412 |
| Phone Number: | 8452682802 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000315 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |