Blazeski, Richard

Blazeski, Richard is an individual health care provider with primary practice located at 11 Orchard St , Port Jervis NY 12771-2027. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blazeski, Richard can be contacted via phone (845) 672-3995.

Contact Information

Primary practice address
11 Orchard St Port Jervis NY 12771-2027
Phone: (845) 672-3995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 032493 New York

Profile Details

NPI number 1407684905
LBN Legal business name Blazeski, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2024
Last updated Jan 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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