Blitzer, Andrew

Blitzer, Andrew is an sole proprietor health care provider with primary practice located at 20 Prospect Ave Ste 613 , Hackensack NJ 07601-1962. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Blitzer, Andrew can be contacted via phone (212) 262-4444.

Contact Information

Primary practice address
20 Prospect Ave Ste 613 Hackensack NJ 07601-1962
Phone: (212) 262-4444
Fax: (212) 523-8165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X W23126514C New Jersey
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 120296 New York
Other Service Providers / Specialist 174400000X 120296 New York

Profile Details

NPI number 1114023520
LBN Legal business name Blitzer, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jan 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114023520 NPPES
New York MEDICAID 00250197

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