Individual
DR. NANICE E REGIS BLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
57 E 75TH ST, NEW YORK, NY 10021-2706
(212) 472-3100
Mailing address
57 E 75TH ST, NEW YORK, NY 10021-2706
(212) 472-3100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
055504-1
NY
Other
Enumeration date
07/22/2011
Last updated
03/08/2024
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