Deborah Blenner, M.D.
Internal Medicine in Smithtown, NY. Individual provider (NPI-1).
NPI number1366497927
StatusActive
Last updated in NPPESApr 9, 2015
Details
- NPI
- 1366497927
- Entity type
- Individual (NPI-1)
- Name
- Deborah Blenner
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2006
- Last updated
- Apr 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 238239 | NY | Yes |
| 207R00000X | Internal Medicine | 11852 | NV |
Practice location
323 Middle Country RdSuite 3
Smithtown, NY 11787-2857
Phone 631-656-8171 · Fax 631-656-8173
Mailing address
323 Middle Country RdSuite 3
Smithtown, NY 11787-2857
Phone 631-656-8171 · Fax 631-656-8173
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