Individual provider · NPI-1

William Blank, MD

Urology · Bronx, NY

NPI number1902851967
StatusActive
Last updated in NPPESJan 21, 2021

Details

NPI
1902851967
Entity type
Individual (NPI-1)
Name
William Blank
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2006
Certification date
Jan 21, 2021
Last updated
Jan 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology148813NYYes

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Phone 718-299-7295 · Fax 718-299-6797

Mailing address

1434 Williamsbridge Rd Fl 2
Bronx, NY 10461-2507

Phone 718-618-0401 · Fax 347-479-1303

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