Individual
MAX BLONDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
40 W 72ND ST, APT. 123, NEW YORK, NY 10023-4119
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058722
NY
Other
Enumeration date
06/18/2015
Last updated
08/11/2016
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