Provider Demographics
NPI:1306421789
Name:UHLIG, BLAIR LAUREN
Entity type:Individual
Prefix:DR
First Name:BLAIR
Middle Name:LAUREN
Last Name:UHLIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 E 14TH ST APT 8H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3136
Mailing Address - Country:US
Mailing Address - Phone:551-206-4574
Mailing Address - Fax:
Practice Address - Street 1:846 55TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5167
Practice Address - Country:US
Practice Address - Phone:718-436-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002069176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife