Organization
DRS BLAU, TIGER, SULLIVAN, SUMNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELDON BLAU (OWNER)
(516) 541-6262
Entity
Organization
Contact information
Practice address
566 BROADWAY, MASSAPEQUA, NY 11758-5017
(516) 544-6262
(516) 541-0011
Mailing address
566 BROADWAY, MASSAPEQUA, NY 11758-5017
(516) 544-6262
(516) 541-0011
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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