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

Dr. Ilyse Blazar, DO

Individual provider Surgery Physician · NPI 1679192801

Dr. Ilyse Blazar, DO is a General Surgery in Brooklyn, New York. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone: (718) 240-6205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 341510 (NY)

Record details

NPI number1679192801
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 8, 2020
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address100 Woods Rd, Valhalla, NY 10595-1530

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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