Individual
MISS EUSTACIA TULABOT BLEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
224 FIRST AVE #2C, N.Y., NY 10009
(212) 533-3972
Mailing address
224 FIRST AVE #2C, NEW YORK, NY 10009
(212) 533-3972
(516) 791-1272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
124989
NY
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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