Richard Blazeski
NPI #1407684905 in Port Jervis, New York
Provider Information
- NPI Number
- 1407684905
- Entity Type
- Individual
- Name
- Richard Blazeski
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 25, 2024
- Last Updated
- Jan 24, 2025
Practice Location
- Address
- 11 ORCHARD ST
- City
- Port Jervis
- State
- New York
- ZIP Code
- 12771-2027
- Phone
- (845) 672-3995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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