Individual
DR. ALLEN JAY BLAIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4000
Mailing address
44 BARRY PL, PASSAIC, NJ 07055-3516
(973) 395-7034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
236102
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
236102
NY
207RP1001X
Pulmonary Disease Physician
236102
NY
Other
Enumeration date
07/27/2006
Last updated
01/09/2026
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