Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 192364 | NY |
NPI | 1326129982 |
---|---|
Provider Name | Michael Blotner |
First Address | White Plains, NY 10605-1430 |
Second Address | White Plains, NY 10605-1430 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 25/06/2009 |