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Individual

DR. RONALD D. BLATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.O.G

Contact information

Practice address
144 E 44TH ST, SUITE# 225, NEW YORK, NY 10017-4008
(212) 308-4988
(212) 949-4034
Mailing address
144 E 44TH ST, SUITE # 225, NEW YORK, NY 10017-4008
(212) 308-4988
(212) 949-4034

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
165005-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0094565
GHI PROVIDER ID
NY
05
00970645
NY
01
165005
HIP PROVIDER ID
NY
01
2C3087
HEALTHNET PROVIDER ID
NY
01
NP998
OXFORD PROVIDER ID
NY
Enumeration date
07/17/2006
Last updated
10/01/2015
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