Individual
STEPHANIE BLANK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 E 34TH ST, 4TH FL., NEW YORK, NY 10016-4750
(212) 731-5345
Mailing address
160 E 34TH ST, 4TH FL., NEW YORK, NY 10016-4750
(212) 731-5345
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
203247
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02194365
—
NY
Enumeration date
08/09/2005
Last updated
07/08/2007
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