Individual provider · NPI-1

Dr. Daniel Benjamin Blau, DDS

Dentist, General Practice · Middletown, NY

NPI number1285203554
StatusActive
Last updated in NPPESJul 3, 2023

Details

NPI
1285203554
Entity type
Individual (NPI-1)
Name
Dr. Daniel Benjamin Blau
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 22, 2021
Certification date
Jun 28, 2023
Last updated
Jul 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice063080NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

674 E Main St
Middletown, NY 10940-2644

Phone 845-343-1486

Mailing address

350 Engle St
Englewood, NJ 07631-1808

Phone 201-894-3000

Other practice locations

350 Engle St
Englewood, NJ 07631-1808

Phone 201-894-3000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Middletown, NY