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1760456933

NPI Code Detail

MEDICARE: SANA BLOCH MD

MEDICARE: SANA BLOCH MD

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	131308	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01499395	OTHER	NY	HEALTH PLUS
2	090519000030	OTHER	NY	FIDELIS
3	599703P	OTHER	NY	HIP
4	0237837	OTHER	NY	EMBLEM HEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	000000139890	OTHER	NY	EMBLEM HEALTH - HMO
7	131308-A43	OTHER	NY	131308-A43
8	7598806	OTHER	NY	CIGNA
9	852N21	OTHER	NY	EMPIRE BC BS

General Provider Information

NPI Number	:	1760456933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANA BLOCH MD

Provider Business Mailing Address
First Line	:	625 E FORDHAM RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5049
Country	:	US
Telephone Number	:	718-409-3433
Fax Number	:	718-933-5321

Provider Business Practice Location Address
First Line	:	625 E FORDHAM RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-5049
Country	:	US
Telephone Number	:	718-409-3433
Fax Number	:	718-933-5321

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	01/30/2015

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Directions to “ SANA BLOCH MD” Practice Location

Language	Start Address	Practice Location

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