Individual
BRYAN BLASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 E 17TH ST FL 7, NEW YORK, NY 10003-3804
(212) 420-4421
(212) 420-2224
Mailing address
317 E 17TH ST FL 7, NEW YORK, NY 10003-3804
(212) 420-4421
(212) 420-2224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
000000000000
LA
207R00000X
Internal Medicine Physician
291664
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
291664
NY
Other
Enumeration date
04/03/2014
Last updated
12/20/2021
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