Individual
ROBERT BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP, RN
Contact information
Practice address
5100 SUNRISE HWY FL 2, MASSAPEQUA PARK, NY 11762-2935
(516) 715-1356
Mailing address
264 W PINE ST, LONG BEACH, NY 11561-1939
(516) 698-3026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405139
NY
Other
Enumeration date
07/03/2023
Last updated
01/14/2024
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