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Individual
EMILY A BLAIS
Active
Individual
EMILY A BLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
115111
NY
363AS0400X
Surgical Physician Assistant
Primary
015111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05632233
—
NY
01
—
P01035984
MEDICARE RR
NY
Enumeration date
09/15/2011
Last updated
04/29/2022
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