Jerry G Blaivas MD
Jerry G Blaivas MD is an Urology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
445 E 77th StNew York, NY 10021-2318
Phone: (212) 772-3900
Fax: (212) 772-1919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 60144945 (NY) |
|---|
Record details
| NPI number | 1831211663 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Blaivas — President · (212) 772-3900 |
| NPI enumerated | April 4, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 445 E 77th St, New York, NY 10021-2318 |
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