# JAANA REHNSTROM-BLANE MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1760750954
- **Authorized official:** DR. JAANA VIVECA REHNSTROM M.D. (PRESIDENT)
- **Authorized official phone:** (212) 366-4765

## Contact information

- **Practice address:** 103 5TH AVE, NEW YORK, NY 10003-1009
- **Practice address phone:** (212) 366-4765
- **Mailing address:** 103 FIFTH AVENUE, NEW YORK, NY 10003-1009
- **Mailing address phone:** (212) 366-4765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 167336 | NY | Yes |

## Other

- **Enumeration date:** 12/02/2011
- **Last updated:** 12/02/2011