Individual
BORIS N BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE FL 10, NEW YORK, NY 10032-3729
(857) 234-1116
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-1948
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
226998
MA
2085R0202X
Diagnostic Radiology Physician
241822
MA
2085R0202X
Diagnostic Radiology Physician
Primary
329713
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083038A
—
MA
Enumeration date
03/29/2009
Last updated
05/07/2024
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