Blau, Miriam S

Blau, Miriam S is an sole proprietor health care provider with primary practice located at 7 Ismay St , Staten Island NY 10314-5019. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Blau, Miriam S can be contacted via phone (917) 744-1740.

Contact Information

Primary practice address
7 Ismay St Staten Island NY 10314-5019
Phone: (917) 744-1740
Fax: (718) 815-8122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 520046-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 381940 New York

Profile Details

NPI number 1780884205
LBN Legal business name Blau, Miriam S
Credentials R.N., P.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2007
Last updated Oct 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780884205 NPPES
New York MEDICAID 02460364

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