| NPI | 1710085303 |
|---|---|
| Professional Name | JACK ELLIOT ROSENBLATT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D18209) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD D0018209) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-03-22 |