Individual
DR. STEVEN A BLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4444
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4444
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
150694
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020D110620
BCBS GROUP PIN
—
05
—
1124073390
—
MI
Enumeration date
05/24/2006
Last updated
08/01/2012
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