JERRY GENE BLAIVAS

NEW YORK, NY
NPI1124060330
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy173000000X Legal Medicine
(Licence: NY  144945 1)
Enumeration Date2006-06-12
Last Update Date2007-07-08
Business Address
Dr. JERRY GENE BLAIVAS M.D.
445 E 77TH ST
NEW YORK, NY 10021-2318
Phone number: 212-772-3900
Mailing Address
Dr. JERRY GENE BLAIVAS M.D.
445 E 77TH ST
NEW YORK, NY 10021-2318
Phone number: 212-772-3900