Individual
DR. STEPHEN ANDREW BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-6106
(315) 464-6117
Mailing address
251 SALINA MEADOWS PKWY STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
284455
NY
208800000X
Urology Physician
DR.0054973
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2009
Last updated
08/05/2016
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