Individual provider · Type 1 NPI

Theodore Blaine, MD

Sports Medicine (Orthopaedic Surgery) Physician · New York, NY

NPI number 1376576421 Active

Practice location

535 E 70th St
New York, NY 10021-4823

Call (203) 705-0766 Map

Fax (860) 247-3803

Mailing address

PO Box 29234
New York, NY 10087-9234

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X12523 (RI)
Orthopaedic Surgery Physician 207X00000X196273-1 (NY)
Orthopaedic Surgery Physician 207X00000X39067 (CT)
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X039067 (CT)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1376576421

Theodore Blaine, MD's National Provider Identifier is 1376576421, issued on Jul 9, 2006. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in New York, NY. The record was last updated on Dec 21, 2020.