Individual
MICHAEL BLOTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 S BROADWAY, WHITE PLAINS, NY 10605-1430
(914) 949-6677
Mailing address
136 S BROADWAY, WHITE PLAINS, NY 10605-1430
(914) 949-6677
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
192364
NY
Other
Enumeration date
10/18/2006
Last updated
06/25/2009
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