Individual
DR. BRADLEY BENJAMIN BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
990 STEWART AVENUE, SUITE 610 - ENTA, GARDEN CITY, NY 11530-4838
(516) 222-1881
(516) 222-1885
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
153397
DC
207Y00000X
Otolaryngology Physician
Primary
260938
NY
Other
Enumeration date
01/27/2009
Last updated
04/02/2019
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