Blakely, Judith Elisa

Blakely, Judith Elisa is an individual health care provider with primary practice located at 375 Bay Rd , Queensbury NY 12804-3012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blakely, Judith Elisa can be contacted via phone (518) 480-7870.

Contact Information

Primary practice address
375 Bay Rd Queensbury NY 12804-3012
Phone: (518) 480-7870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 026.0015348 Vermont

Profile Details

NPI number 1205185055
LBN Legal business name Blakely, Judith Elisa
Credentials APRN: PSYCHIATRY
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2012
Last updated Dec 7th, 2022 - about 2 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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