DR. Debra Ellen Blaine, MD

NPI #1841358140 in East Northport, New York

Provider Information

NPI Number: 1841358140
Entity Type: Individual
Name: DR. Debra Ellen Blaine, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Dec 5, 2006
Last Updated: Apr 13, 2018

Practice Location

Address: 1912 E JERICHO TRPK
City: East Northport
State: New York
ZIP Code: 11731-1173
Phone: (631) 238-3065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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