Individual
DR. ILYA A BLOKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3319 KINGS HWY, SUITE 1J, BROOKLYN, NY 11234-2638
(718) 676-4067
(718) 676-4068
Mailing address
3319 KINGS HWY, SUITE 1J, BROOKLYN, NY 11234-2638
(718) 676-4067
(718) 676-4068
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
043935
CT
207RH0003X
Hematology & Oncology Physician
Primary
228150
NY
207RH0003X
Hematology & Oncology Physician
MD430769
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932164
HIGHMARK
PA
01
—
50066305
CAPITAL BLUE CROSS
PA
Enumeration date
05/18/2006
Last updated
08/15/2012
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