Individual
CASEY A BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 MAIN ST, NEW PALTZ, NY 12561-1314
(845) 255-9210
Mailing address
41 LOWER NEW TOWN RD, WATERFORD, NY 12188-1219
(518) 391-5219
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061707
NY
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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