Individual
DR. EUGENE DEBLASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 BONNIE LN, BAYSIDE, NY 11360-1145
(718) 423-9167
(718) 423-9169
Mailing address
1414 BONNIE LN, BAYSIDE, NY 11360-1145
(718) 423-9167
(718) 423-9169
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
127572
NY
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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