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Organization

DEBORAH RUIZ BLENK, M.D.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBORAH RUIZ BLENK M.D. (PHYSICIAN)
(516) 520-4080
Entity
Organization

Contact information

Practice address
2900 HEMPSTEAD TPKE, SUITE110, LEVITTOWN, NY 11756-1404
(516) 520-4080
(516) 520-4081
Mailing address
2900 HEMPSTEAD TPKE, SUITE110, LEVITTOWN, NY 11756-1404
(516) 520-4080
(516) 520-4081

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
153529
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00832320
NY
Enumeration date
01/19/2008
Last updated
01/19/2008
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