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Individual

LENNART C BELOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 E 20TH ST, NEW YORK, NY 10009-8112
(212) 265-9716
(212) 477-6533
Mailing address
410 E 20TH ST, NEW YORK, NY 10009-8112
(212) 265-9716
(212) 477-6533

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
120794
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040473
GHI
NY
05
00499270
NY
01
08A701
EMPIRE BLUECR/BLUESHIELD
NY
01
120794
OXFORD
NY
01
80141
HEALTH FIRST
NY
01
90540
AETNA US HEALTH CARE
NY
Enumeration date
10/16/2006
Last updated
10/06/2010
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