Individual
GALE Y BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 PENN PLZ, NEW YORK, NY 10119-0002
(763) 957-6261
Mailing address
1 PENN PLZ, NEW YORK, NY 10119-0002
(763) 957-6261
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
11/14/2006
Last updated
08/01/2016
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