Organization
CHRISTINE BLAINE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE BLAINE M.D. (OWNER)
(631) 827-8159
Entity
Organization
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 827-8159
(631) 368-1538
Mailing address
PO BOX 555, HUNTINGTON, NY 11743-0555
(631) 827-8159
(631) 368-1538
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
265036
NY
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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