Individual
DR. MYRON I BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
165 MAIN ST, PATERSON, NJ 07505-1201
(973) 278-4480
(973) 278-6003
Mailing address
7 MARCUS DR, MONSEY, NY 10952-5228
(845) 354-9401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA000351800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4572106
—
NJ
01
—
728163
PROVIDER TRANSACTION ACCESS NUMBER
—
Enumeration date
01/12/2007
Last updated
12/17/2008
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