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1831211663
JERRY G BLAIVAS MD
NEW YORK, NY
NPI
1831211663
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Entity Type
Organization
Authorized Contact
JERRY G BLAIVAS
President
212-772-3900
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: NY 60144945)
Enumeration Date
2007-04-04
Last Update Date
2020-08-22
Business Address
JERRY G BLAIVAS MD
445 E 77TH ST
NEW YORK, NY 10021-2318
Phone number: 212-772-3900
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Mailing Address
JERRY G BLAIVAS MD
445 E 77TH ST
NEW YORK, NY 10021-2318
Phone number: 212-772-3900
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