Individual
DR. NANCY BLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.PH.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 901-8918
(718) 313-0194
Mailing address
PO BOX 570169, WHITESTONE, NY 11357-0169
(646) 361-4610
(718) 313-0194
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
244436
NY
207WX0109X
Neuro-ophthalmology Physician
0244436
NY
Other
Enumeration date
06/08/2007
Last updated
03/31/2022
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