Bluth, Mordecai

Bluth, Mordecai is an individual health care provider with primary practice located at 187 Veteran'S Blvd , Massapequa NY 11758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bluth, Mordecai can be contacted via phone (718) 815-1000.

Contact Information

Primary practice address
187 Veteran'S Blvd Massapequa NY 11758
Phone: (718) 815-1000
Fax: (718) 815-8122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 097883 New York

Profile Details

NPI number 1598792616
LBN Legal business name Bluth, Mordecai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1598792616 NPPES
New York MEDICAID 00165811

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