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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114023520 | NPPES |
| New York | MEDICAID | 00250197 |
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