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1609931534
BLAINE S GREENWALD
GLEN OAKS, NY
NPI
1609931534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 141018)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
-- BLAINE S GREENWALD MD
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number: 718-470-8011
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Mailing Address
-- BLAINE S GREENWALD MD
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number: 718-470-8011
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