Individual
DR. ELIZABETH ELLEN BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 BROADWAY, NEW YORK, NY 10003-4709
(212) 473-4700
Mailing address
817 BROADWAY, NEW YORK, NY 10003-4709
(212) 473-4700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39469
NY
Other
Enumeration date
11/14/2009
Last updated
11/14/2009
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