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Organization

ILYA BLOKH MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ILYA BLOKH MD (PRESIDENT)
(718) 676-4067
Entity
Organization

Contact information

Practice address
3319 KINGS HWY, SUITE 1J, BROOKLYN, NY 11234-2638
(718) 676-4067
(718) 676-4068
Mailing address
3319 KINGS HWY, SUITE 1J, BROOKLYN, NY 11234-2638
(718) 676-4067
(718) 676-4068

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
228150
NY

Other

Enumeration date
06/22/2009
Last updated
08/13/2012
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