MEDICARE: KAREN BLITZ-SHABBIR DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	190749	NY

General Provider Information

NPI Number	:	1275562894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN BLITZ-SHABBIR DO

Provider Business Mailing Address
First Line	:	263 7TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-7247
Country	:	US
Telephone Number	:	718-246-8614
Fax Number	:	718-246-8592

Provider Business Practice Location Address
First Line	:	263 7TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-7247
Country	:	US
Telephone Number	:	718-246-8614
Fax Number	:	718-246-8592

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	12/08/2022

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