Blaise, Marie-Nirva
Blaise, Marie-Nirva is an sole proprietor health care provider with primary practice located at 760 Grand Concourse , Bronx NY 10451-3049. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Blaise, Marie-Nirva can be contacted via phone (718) 518-5550.Contact Information
Primary practice address
760 Grand Concourse
Bronx NY 10451-3049
Phone: (718) 518-5550
Fax: (718) 518-5111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 207405 | New York |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 207405 | New York |
Profile Details
| NPI number | 1396833588 |
|---|---|
| LBN Legal business name | Blaise, Marie-Nirva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Feb 11th, 2014 - about 11 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 | 1396833588 | NPPES |
| New York | MEDICAID | 02809763 | |
| New York | Other | 207405 |
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