Provider Demographics
NPI:1871649715
Name:BLOCH, DENISE ANNE (BA MS)
Entity Type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:ANNE
Last Name:BLOCH
Suffix:
Gender:F
Credentials:BA MS
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Mailing Address - Street 1:27 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1438
Mailing Address - Country:US
Mailing Address - Phone:631-351-1111
Mailing Address - Fax:631-871-3031
Practice Address - Street 1:3 GREENHILLS RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3905
Practice Address - Country:US
Practice Address - Phone:631-351-0193
Practice Address - Fax:631-271-3031
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist