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1063696326
ALEXANDRE B BLAIVAS
STATEN ISLAND, NY
NPI
1063696326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 234568)
Enumeration Date
2007-12-21
Last Update Date
2010-07-23
Business Address
ALEXANDRE B BLAIVAS M.D.
75 VANDERBILT AVE FIFTH FLOOR
STATEN ISLAND, NY 10304-2604
Phone number: 718-818-6131
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Mailing Address
ALEXANDRE B BLAIVAS M.D.
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-6131
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