Individual
DR. IRWIN H BLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 NEW HYDE PARK RD, SUITE 200, NEW HYDE PARK, NY 11042-1214
(516) 488-1888
Mailing address
3003 NEW HYDE PARK ROAD, 200, NEW HYDE PARK, NY 11042
(516) 488-1888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
121202
NY
2084N0400X
Neurology Physician
Primary
121202
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00409774
—
NY
Enumeration date
02/10/2006
Last updated
03/17/2023
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