Individual
JENNIFER KUBO BLAKEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 W 27TH ST FL 9, NEW YORK, NY 10001-6208
(212) 263-2422
(212) 263-8827
Mailing address
700 HICKSVILLE RD STE 205, BETHPAGE, NY 11714-3472
(267) 339-7843
(212) 263-8827
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
278978-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2013
Last updated
03/25/2025
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