Blaivas, Jerry Gene
Blaivas, Jerry Gene is an individual health care provider with primary practice located at 445 E 77Th St , New York NY 10021-2318. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Blaivas, Jerry Gene can be contacted via phone (212) 772-3900.Contact Information
Primary practice address
445 E 77Th St
New York NY 10021-2318
Phone: (212) 772-3900
Fax: (212) 772-1919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 144945 1 | New York |
Profile Details
| NPI number | 1124060330 |
|---|---|
| LBN Legal business name | Blaivas, Jerry Gene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 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.
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