Individual
JARED BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 5TH AVE FL 29, NEW YORK, NY 10017-3671
(212) 951-0468
Mailing address
535 5TH AVE FL 29, NEW YORK, NY 10017-3671
(914) 393-4305
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
315130-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2016
Last updated
02/14/2024
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