Individual
NICHOLAS BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6262
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6262
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
316860
NY
Other
Enumeration date
04/05/2019
Last updated
08/02/2024
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