Individual
BLAIR SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
154 BRADLEY RD, SCARSDALE, NY 10583-6236
(561) 212-9281
Mailing address
154 BRADLEY RD, SCARSDALE, NY 10583-6236
(561) 212-9281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1203508
NY
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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