Individual
JONATHAN A BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 SEAVIEW AVE, DEPT. OF PEDIATRICS, STATEN ISLAND, NY 10305-3436
(718) 226-8123
(718) 226-1128
Mailing address
1 EDGEWATER ST, 6TH FL., STATEN ISLAND, NY 10305-4907
(718) 226-1008
(718) 226-1039
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
242947
NY
Other
Enumeration date
06/14/2007
Last updated
07/14/2011
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