Individual
NATALIE BLYZNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5026
Mailing address
69 MUD RD, SETAUKET, NY 11733-2231
(516) 459-1343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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