Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Drs Blau, Tiger, Sullivan, Sumner

Organization Rheumatology Physician · NPI 1417012790

Drs Blau, Tiger, Sullivan, Sumner is a Rheumatology Physician in Massapequa, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

566 Broadway
Massapequa, NY 11758-5017
Phone: (516) 544-6262
Fax: (516) 541-0011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X

Record details

NPI number1417012790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheldon Blau — Owner · (516) 541-6262
NPI enumeratedDecember 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address566 Broadway, Massapequa, NY 11758-5017

Other providers in Massapequa