Blair, Albert John

Blair, Albert John is an individual health care provider with primary practice located at 117 Marys Ave Suite 201, Kingston NY 12401-5849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blair, Albert John can be contacted via phone (845) 338-3050.

Contact Information

Primary practice address
117 Marys Ave Suite 201 Kingston NY 12401-5849
Fax: (845) 338-1614
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 167133 New York

Profile Details

NPI number 1881683134
LBN Legal business name Blair, Albert John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881683134 NPPES
New York MEDICAID 978950

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