Individual
WAYNE JOSEPH BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
THIRD AVENUE AND 183RD STREET, BRONX, NY 10457-2594
(718) 960-9000
Mailing address
1319 E 222ND ST, BRONX, NY 10469-2601
(718) 654-6358
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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