Blazewicz, Gina

Blazewicz, Gina is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Blazewicz, Gina can be contacted via phone (718) 226-9000.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Phone: (718) 226-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 029374 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 029374 New York

Profile Details

NPI number 1154034916
LBN Legal business name Blazewicz, Gina
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2022
Last updated Mar 11th, 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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