Blaize, Robin Madonna

Blaize, Robin Madonna is an individual health care provider with primary practice located at 3425 Vernon Blvd , Astoria NY 11106-5121. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Blaize, Robin Madonna can be contacted via phone (844) 815-1508.

Contact Information

Primary practice address
3425 Vernon Blvd Astoria NY 11106-5121
Phone: (844) 815-1508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 755337 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F404761 New York

Profile Details

NPI number 1639821598
LBN Legal business name Blaize, Robin Madonna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2022
Last updated Jul 6th, 2023 - about last year

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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