Individual
MS. MARIA PIA DE BLASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3065 GRAND CONCOURSE, BRONX, NY 10468
(718) 295-3898
Mailing address
3065 GRAND CONCOURSE, BRONX, NY 10468
(718) 295-3898
(718) 295-9025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NY147742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00676320
—
NY
Enumeration date
10/11/2006
Last updated
07/08/2007
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