Provider Demographics
NPI:1164159372
Name:STEVEN BLAUNER PLLC
Entity Type:Organization
Organization Name:STEVEN BLAUNER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAUNER
Authorized Official - Suffix:
Authorized Official - Credentials:LSCW
Authorized Official - Phone:914-263-7240
Mailing Address - Street 1:83 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-1015
Mailing Address - Country:US
Mailing Address - Phone:914-263-7240
Mailing Address - Fax:
Practice Address - Street 1:83 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:CT
Practice Address - Zip Code:06883-1015
Practice Address - Country:US
Practice Address - Phone:914-263-7240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty