Individual
ANGELA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
886 WESTCHESTER AVE, BRONX, NY 10459-4010
(718) 585-5544
Mailing address
886 WESTCHESTER AVE, BRONX, NY 10459-4010
(718) 585-5544
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400222-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2716232631
MEDICARE UNSPECIFIED
NY
Enumeration date
10/12/2006
Last updated
06/19/2025
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