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Contact Information

DEBORAH BLENNER, MD
323 MIDDLE COUNTRY RD
SUITE 3
SMITHTOWN, NY11787-2857
 Phone: 631-656-8171
 Fax: 631-656-8173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEBORAH BLENNER · (Female)

NPI # 1366497927
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 04/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 11852
  • NY License # 238239
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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