Dr. Christine Marie Blaine, MD
Surgery, Plastic and Reconstructive Surgery in Huntington, NY. Individual provider (NPI-1).
NPI number1609040310
StatusActive
Last updated in NPPESSep 20, 2012
Details
- NPI
- 1609040310
- Entity type
- Individual (NPI-1)
- Name
- Dr. Christine Marie Blaine
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2008
- Last updated
- Sep 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | 265036-1 | NY | Yes |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | MT186094 | PA |
Practice location
110 E Main StSuite #6
Huntington, NY 11743-2845
Phone 631-424-3600 · Fax 631-424-2963
Mailing address
110 E Main StSuite #6
Huntington, NY 11743-2845
Phone 631-424-3600 · Fax 631-424-2963
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