Provider Demographics
NPI:1346248846
Name:BLANK, HOWARD STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:STEVEN
Last Name:BLANK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7079 CORNING CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3985
Mailing Address - Country:US
Mailing Address - Phone:561-734-1236
Mailing Address - Fax:253-595-5571
Practice Address - Street 1:7079 CORNING CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3985
Practice Address - Country:US
Practice Address - Phone:561-734-1236
Practice Address - Fax:253-595-5571
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL105924207RR0500X
NYMD 116258207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001352OtherCONNECTICARE
NY000000032779OtherGHI HMO
NJ5173001Medicaid
NYRS318OtherOXFORD
NY00215247Medicaid
NY393683OtherMVP
NY1000024011OtherAFFINITY
NY4473355OtherAETNA PPO
NY49275OtherAETNA HMO
NY110046596OtherRAILROAD MEDICARE
NY321141OtherEMPIRE BC/BS OF NY
NY041014000004OtherFIDELIS
NY0641597000OtherAMERIHEALTH
NY1162581OtherHIP
NYCE2073OtherRAILROAD MEDICARE GROUP #
NY041014000004OtherFIDELIS
NY1000024011OtherAFFINITY