Individual provider · Type 1 NPI

Jerry Gene Blaivas, MD

Legal Medicine · New York, NY

NPI number 1124060330 Active

Practice location

445 E 77th St
New York, NY 10021-2318

Fax (212) 772-1919

Specialties and licenses

TaxonomyCodeLicense
Legal Medicine Primary 173000000X144945 1 (NY)

Legal Medicine: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical …

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About NPI 1124060330

Jerry Gene Blaivas, MD's National Provider Identifier is 1124060330, issued on Jun 12, 2006. The primary taxonomy on file is Legal Medicine (173000000X), and the practice location is in New York, NY. The record was last updated on Jul 13, 2026.