Bluth, Mordecai
Bluth, Mordecai is an individual health care provider with primary practice located at 187 Veteran'S Blvd , Massapequa NY 11758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bluth, Mordecai can be contacted via phone (718) 815-1000.Contact Information
Primary practice address
187 Veteran'S Blvd
Massapequa NY 11758
Phone: (718) 815-1000
Fax: (718) 815-8122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 097883 | New York |
Profile Details
| NPI number | 1598792616 |
|---|---|
| LBN Legal business name | Bluth, Mordecai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1598792616 | NPPES |
| New York | MEDICAID | 00165811 |
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