Debra Blog, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

179674-1 Issued in NY

Practice address

Bureau of Immunization New York State Dept Ofhealth
Empire State Plaza, Corning Tower, Room 649
Albany, NY 12237-0001

Phone

(518) 473-4437

NPI assigned

Dec 30, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1962732735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUREAU OF IMMUNIZATION NEW YORK STATE DEPT OFHEALTH",
            "address_2": "EMPIRE STATE PLAZA, CORNING TOWER, ROOM 649",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122370001",
            "telephone_number": "518-473-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUREAU OF IMMUNIZATION NEW YORK STATE DEPT OFHEALTH",
            "address_2": "EMPIRE STATE PLAZA, CORNING TOWER, ROOM 649",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122370001",
            "telephone_number": "518-473-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOG",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "179674-1",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "179674-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health & General Preventive Medicine Physician in Albany, NY
• Providers in Albany, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.