DR. Debra Blog, M.D.

NPI #1962732735 in Albany, New York

Provider Information

NPI Number: 1962732735
Entity Type: Individual
Name: DR. Debra Blog, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Preventive Medicine - Public Health & General Preventive Medicine
Credential: M.D.
Enumeration Date: Dec 30, 2009
Last Updated: Dec 30, 2009

Practice Location

Address: BUREAU OF IMMUNIZATION NEW YORK STATE DEPT OFHEALTH
Address 2: EMPIRE STATE PLAZA, CORNING TOWER, ROOM 649
City: Albany
State: New York
ZIP Code: 12237-0001
Phone: (518) 473-4437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine	2083P0901X	Primary

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