Individual
JOSHUA H BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 472-4471
Mailing address
600 OSWEGO ST STE 1, LIVERPOOL, NY 13088-5143
(315) 491-8531
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402452
NY
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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