Blair, Marie
Blair, Marie is an individual health care provider with primary practice located at 600 Northern Boulevard Suite 109 , Great Neck NY 11021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blair, Marie can be contacted via phone (516) 674-8775.Contact Information
Primary practice address
600 Northern Boulevard Suite 109
Great Neck NY 11021
Phone: (516) 674-8775
Fax: (516) 466-7616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 128815 | New York |
Profile Details
| NPI number | 1588739593 |
|---|---|
| LBN Legal business name | Blair, Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588739593 | NPPES |
| New York | MEDICAID | 01914754 |
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