Most Relevant Information
Provider Data
| NPI Number: | 1003212705 |
| Provider Name: | RACHAEL HALEY BLAIRE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 018145 |
Most Important Dates
| Enumeration Date: | 11/07/2014 |
| Last Updated: | 03/02/2016 |
Provider Practice Location
525 E 68TH ST
NEW YORK
NY
100654870
Practice Location Phone/Fax
| Phone: | 4802219894 |
| Fax: |
Provider Mailing Location
200 WATER ST
APT 1114
NEW YORK
NY
100383624
Provider Mailing Phone/Fax
| Phone: | 4802219894 |
| Fax: |