DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY GENE BLAIVAS, M.D.

Active

Legal Medicine · NEW YORK, NY

Registration Details

NPI Number
1124060330
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2006 (19.859099331619 yrs)
Last Updated
Jul 8, 2007
License
144945 1 (NY)

Practice Information

Address
445 E 77TH ST
NEW YORK, NY, 100212318
Browse NY providers · Browse ZIP 10021
Phone
2127723900
Fax
2127721919
Primary Specialty
Legal Medicine
173000000X

Other Legal Medicine Providers in NEW YORK, NY

Name Credential NPI
DR. RICHARD MERKLER M.D. 1134109754
PATRICK MIZRAHI 1063486116
DR. SHU YAIN CHIN M.D 1881663904
MICHAEL SCANLON 1801849666
DR. ALBERT LEVY M.D. 1902850241
ANTHONY P. AZAR M.D. 1457307506
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.