Blank, Andrew
Blank, Andrew is an individual health care provider with primary practice located at 1090 Amsterdam Ave 10Th Floor, New York NY 10025-1737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Blank, Andrew can be contacted via phone (212) 961-5530.Contact Information
Primary practice address
1090 Amsterdam Ave 10Th Floor
New York NY 10025-1737
Phone: (212) 961-5530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 208215 | New York |
Profile Details
| NPI number | 1346233475 |
|---|---|
| LBN Legal business name | Blank, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Apr 16th, 2019 - about 6 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 | 1346233475 | NPPES |
| New York | MEDICAID | 02575657 |
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