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Dr. Theodore Blaine, MD
Sports Medicine (Orthopedic Surgery) Physician in New York, New York
NPI 1376576421

Theodore Blaine is a Sports Medicine (Orthopedic Surgery) Physician based in New York, NY and is specialized in Sports Medicine. Theodore Blaine practices in New York, NY and has the professional credentials of MD. The NPI Number for Theodore Blaine is 1376576421 and holds a License No. 12523 (New York).

The current practice location address for Theodore Blaine is 535 E 70Th St, New York, NY and can be reached out via phone at 203-705-0766 and via fax at 860-247-3803.

Location: 535 E 70Th St, New York, NY, 10087-9234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376576421
Provider Name
Theodore Blaine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
535 E 70Th St, New York, NY, 10087-9234
Phone Number
203-705-0766
Fax Number
860-247-3803
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200001063 01 CT CT MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
535 E 70Th St
City
New York
State
New York
Zip
10021-4823
Phone Number
203-705-0766
Fax Number
860-247-3803
person
Provider Business Mailing Address Details
Address
535 E 70Th St
City
New York
State
New York
Zip
10021-4823
Phone Number
203-705-0766
Fax Number
860-247-3803
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
196273-1 (New York)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Sports Medicine
Taxonomy
207XX0005X
License No.
12523 (Rhode Island)
Definition
An orthopedic 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 team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
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