Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP B. BLANK JR., D.O.
Active Sole ProprietorDR. PHILIP B. BLANK JR., D.O. is a Dermatology healthcare provider located in PLEASANTVILLE, New York. NPI 1134242860 is currently active in the NPPES registry. Verify at CMS.
Dermatology · PLEASANTVILLE, NY
Registration Details
- NPI Number
- 1134242860
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2007 (19.391032847334 yrs)
- Last Updated
- Mar 9, 2010
- License
-
189508 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
325 MANVILLE RDPLEASANTVILLE, NY, 105702122Browse NY providers · Browse ZIP 10570
- Phone
- 9147475600
- Fax
- 9147477085
- Primary Specialty
-
Dermatology
207N00000X
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.