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Individual

DR. ANDREW BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1090 AMSTERDAM AVE, 10TH FLOOR, NEW YORK, NY 10025-1737
(212) 961-5530
Mailing address
PO BOX 95000-2409, PHILADELPHIA, PA 19195-0001
(212) 315-0144
(212) 315-0196

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
208215
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02575657
NY
Enumeration date
08/24/2005
Last updated
04/16/2019
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