Provider Demographics
NPI:1780788000
Name:BLAUFOX, MORTON D (MD,PHD)
Entity type:Individual
Prefix:DR
First Name:MORTON
Middle Name:D
Last Name:BLAUFOX
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:101 DRAKE SMITH LN
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-4316
Mailing Address - Country:US
Mailing Address - Phone:718-405-8454
Mailing Address - Fax:718-824-0625
Practice Address - Street 1:MMC - DEPT. OF NUCLEAR MED.
Practice Address - Street 2:1695-A EASTCHESTER ROAD
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096301207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine