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Individual

STUART H BLANKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2472 BROADWAY, NEW YORK, NY 10025-7449
(212) 362-8090
(212) 875-1488
Mailing address
2472 BROADWAY, NEW YORK, NY 10025-7449
(212) 362-8090
(212) 875-1488

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV002630
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00330896
NY
Enumeration date
11/17/2006
Last updated
03/31/2008
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