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Individual

MS. DEBRA LENT BLOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.N.M.

Contact information

Practice address
16 PARK AVE, AIRMONT, NY 10952-4507
(845) 356-3545
(845) 356-3445
Mailing address
16 PARK AVE, AIRMONT, NY 10952-4507
(845) 356-3545
(845) 356-3445

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000869-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02161237
NY
Enumeration date
11/23/2011
Last updated
11/23/2011
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