Organization
JAANA REHNSTROM-BLANE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAANA VIVECA REHNSTROM M.D. (PRESIDENT)
(212) 366-4765
Entity
Organization
Contact information
Practice address
103 5TH AVE, NEW YORK, NY 10003-1009
(212) 366-4765
Mailing address
103 FIFTH AVENUE, NEW YORK, NY 10003-1009
(212) 366-4765
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
167336
NY
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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