Blakely, Stephen Andrew

Blakely, Stephen Andrew is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Blakely, Stephen Andrew can be contacted via phone (315) 464-6106.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Phone: (315) 464-6106
Fax: (315) 464-6117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X DR.0054973 Colorado
Allopathic & Osteopathic Physicians / Urology 208800000X 284455 New York

Profile Details

NPI number 1811123722
LBN Legal business name Blakely, Stephen Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2009
Last updated Aug 5th, 2016 - about 8 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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