MARIE-NIRVA BLAISE

BRONX, NY
NPI1396833588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: NY  207405)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NY  207405)
Enumeration Date2006-10-11
Last Update Date2014-02-11
Business Address
-- MARIE-NIRVA BLAISE MD
760 GRAND CONCOURSE
BRONX, NY 10451-3049
Phone number: 718-518-5550
Mailing Address
-- MARIE-NIRVA BLAISE MD
653 LAWRENCE ST
ELMONT, NY 11003-4615
Phone number: 516-561-1318