Individual
ALEX BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
23 LUZERN ROAD, DOBBS FERRY, NY 10522
(646) 210-0778
Mailing address
23 LUZERN ROAD, DOBBS FERRY, NY 10522
(646) 210-0778
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382998-01
NY
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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