Individual provider · NPI-1

Dr. Debra Blog, M.D.

Preventive Medicine, Public Health & General Preventive Medicine · Albany, NY

NPI number1962732735

StatusActive

Last updated in NPPESDec 30, 2009

Details

NPI: 1962732735
Entity type: Individual (NPI-1)
Name: Dr. Debra Blog
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Dec 30, 2009
Last updated: Dec 30, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2083P0901X	Preventive Medicine, Public Health & General Preventive Medicine	179674-1	NY	Yes
208000000X	Pediatrics	179674-1	NY

Practice location

Bureau Of Immunization New York State Dept Ofhealth
Empire State Plaza, Corning Tower, Room 649
Albany, NY 12237-0001

Phone 518-473-4437

Mailing address

Bureau Of Immunization New York State Dept Ofhealth
Empire State Plaza, Corning Tower, Room 649
Albany, NY 12237-0001

Phone 518-473-4437

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