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1821155870
DAVID E BLAIZE
BROOKLYN, NY
NPI
1821155870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 001810)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Mr. DAVID E BLAIZE PA
233 NOSTRAND AVE
BROOKLYN, NY 11205-4924
Phone number: 718-826-5904
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Mailing Address
Mr. DAVID E BLAIZE PA
345 SCHERMERHORN ST
BROOKLYN, NY 11217-1025
Phone number: 718-403-3547
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