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Search › New York › 207XX0005X

Theodore Blaine, MD

NPI 1376576421 · on the registry since 2006

Practice

Address
535 E 70th St
New York, NY 10021
Phone
(203) 705-0766
Fax
(860) 247-3803
Organisation at this address
Yon Sung
Evette Weil
Jv Medical Pc
Sonal Shah Parr
Wesley Hollomon
Inferred from a shared address, not stated in the registry.
Clinicians at this address
994

Registry record

Primary taxonomy
207XX0005X
207XX0005X
Also registered as
207X00000X
207X00000X
207X00000X
Licence states on file
RI, NY, CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-12-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York