DRS BLAU TIGER SULLIVAN SUMNER NPI 1417012790

NPI Information

  • NPI: 1417012790
  • Provider Name: DRS BLAU, TIGER, SULLIVAN, SUMNER
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Organization
  • Address: 566 BROADWAY
    MASSAPEQUA, NY
    ZIP 11758
  • Phone: (516) 544-6262

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NPI Details

DRS BLAU, TIGER, SULLIVAN, SUMNER is a rheumatology internal medicine in Massapequa, NY. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DRS BLAU, TIGER, SULLIVAN, SUMNER NPI is 1417012790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

566 BROADWAY
MASSAPEQUA, NY
ZIP 11758-017
Phone: (516) 544-6262
Fax: (516) 541-0011

The provider's authorized official is Sheldon Blau .
The authorized official title is Owner and has the following contact phone number (516) 541-6262.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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