Individual
WESLEY S BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 10TH AVE, SUITE 10C, NEW YORK, NY 10019-1147
(212) 523-3452
(212) 523-8066
Mailing address
PO BOX 95000-2243, PHILADELPHIA, PA 19195-2243
(516) 338-5300
(516) 338-1075
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1474182
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01749279
—
NY
Enumeration date
08/04/2005
Last updated
02/08/2013
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