Individual
BLAINE PATRICK STANNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-7473
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
333043
NY
Other
Enumeration date
03/23/2021
Last updated
11/20/2024
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