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Individual

DR. SVETLANA BLITSHTEYN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
835 HOPKINS RD, WILLIAMSVILLE, NY 14221-2322
(716) 531-4598
(716) 478-6917
Mailing address
55 VISCOUNT DR, WILLIAMSVILLE, NY 14221-1766
(716) 531-4598
(716) 478-6917

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
246420
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00028420702
UNIVERA
NY
01
000530048002
BLUE CROSS BLUE SHIELD OF WESTERN NEW YORK
NY
05
02946041
NY
01
0515063
INDEPENDENT HEALTH
NY
Enumeration date
11/22/2005
Last updated
09/09/2010
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