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Individual

ALEXANDRE B BLAIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 VANDERBILT AVE, FIFTH FLOOR, STATEN ISLAND, NY 10304-2604
(718) 818-6131
Mailing address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-6131

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
234568
MA

Other

Enumeration date
12/21/2007
Last updated
07/23/2010
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