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Individual

BLAKE ATWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
(518) 262-3125
Mailing address
745 BROADWAY, ALBANY, NY 12207-2432
(413) 717-1631

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
841153-01
NY

Other

Enumeration date
05/19/2025
Last updated
05/30/2025
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