# ILYA BLOKH MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134356736
- **Authorized official:** ILYA BLOKH MD (PRESIDENT)
- **Authorized official phone:** (718) 676-4067

## Contact information

- **Practice address:** 3319 KINGS HWY, SUITE 1J, BROOKLYN, NY 11234-2638
- **Practice address phone:** (718) 676-4067
- **Practice address fax:** (718) 676-4068
- **Mailing address:** 3319 KINGS HWY, SUITE 1J, BROOKLYN, NY 11234-2638
- **Mailing address phone:** (718) 676-4067
- **Mailing address fax:** (718) 676-4068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 228150 | NY | Yes |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 08/13/2012