Blyznak, Nestor D
Blyznak, Nestor D is an individual health care provider with primary practice located at 100 Nicolls Rd , Stony Brook NY 11794-8181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blyznak, Nestor D can be contacted via phone (631) 444-6996.Contact Information
Primary practice address
100 Nicolls Rd
Stony Brook NY 11794-8181
Phone: (631) 444-6996
Fax: (631) 444-7671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 150695 | New York |
Profile Details
| NPI number | 1649377524 |
|---|---|
| LBN Legal business name | Blyznak, Nestor D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Oct 16th, 2012 - about 12 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 | 1649377524 | NPPES |
| New York | MEDICAID | 001077352 |
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