Individual
DR. MORDCAI BLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
12 GREENRIDGE AVE, SUITE 202, WHITE PLAINS, NY 10605-1238
(914) 428-4700
(914) 428-6971
Mailing address
12 GREENRIDGE AVE, SUITE 202, WHITE PLAINS, NY 10605-1238
(914) 428-4700
(914) 428-6971
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
135936
NY
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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