Agnes Blau MD

NPI 1154530327 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1154530327
Gender Female
Enumeration Date 05/22/2007
Last Updated 10/31/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
85 WEBSTER AVENUE
PORT WASHINGTON NY, 11050, US
Phone (516) 767-0169
Fax
Business Location
PO BOX 567
PORT WASHINGTON NY, 11050, US
Phone (516) 829-3637
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State New York
License Number 162329
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According to our database, Agnes Blau MD NPI is 1154530327, taxonomy code is 2084N0400X and license number is 162329, license state is located at New York. Agnes Blau MD physically located at 85 Webster Avenue, Port Washington NY, 11050. NPI Number Agnes Blau MD has the Individual type.

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1154530327 NPI number is provided on an as is basis without warranty of any kind. 1154530327 is maintained by the National Plan & Provider Enumeration System. The contents of Agnes Blau MD are for informational purposes only.