Individual
DEBORAH BLENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
323 MIDDLE COUNTRY RD, SUITE 3, SMITHTOWN, NY 11787-2857
(631) 656-8171
(631) 656-8173
Mailing address
323 MIDDLE COUNTRY RD, SUITE 3, SMITHTOWN, NY 11787-2857
(631) 656-8171
(631) 656-8173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11852
NV
207R00000X
Internal Medicine Physician
Primary
238239
NY
Other
Enumeration date
05/23/2006
Last updated
04/09/2015
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