Carla M Blain in Long Island City - General Practice

Carla M Blain - NPI 1619966439

Carla M Blain is a General Practice in Long Island City, New York. Carla M Blain practices all healthcare services and medical treatments related to General Practice. The NPI Number for Carla M Blain is 1619966439. The last update date is 2008-04-09.

Carla M Blain's current location address is 1311 Jackson Ave, Long Island City, New York. You can contact this provider via phone number 5164253076. The mailing address for Carla M Blain is 1311 Jackson Ave, Long Island City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Carla M Blain
Address 1311 Jackson Ave, Long Island City, New York
Phone Number 5164253076
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1619966439
Provider Enumeration Date 2005-10-14
Last Updated Date 2008-04-09

Provider Mailing Address Detail

Address 1311 Jackson Ave
City Long Island City
State New York (NY)
Post Code 111015436
Phone Number 5164253076
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 50759
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2420088 NY --

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FAQs about Carla M Blain

What is the Carla M Blain's unique identification number?

The Carla M Blain has been assigned the NPI (National Provider Identifier) Number 1619966439 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Carla M Blain is physically located?

The Carla M Blain is physically situated at the following address: 1311 Jackson Ave, Long Island City, NY, 111015436.

What is the area of specialization for Carla M Blain, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Carla M Blain is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When did the Carla M Blain receive its 1619966439?

The Carla M Blain was issued its 1619966439 on 2005-10-14, which is the date when the organization was assigned this unique identifier.

When was the information related to Carla M Blain most recently updated or refreshed?

The details pertaining to the Carla M Blain, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-09.

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