Active NPIIndividual provider

Alexandre B Blaivas, MD

Psychiatry & Neurology, Psychiatry in Staten Island, New York

NPI Number1063696326
Practice location
75 Vanderbilt Ave, Fifth Floor, Staten Island, NY 10304-2604
Fax
—
Last updated
July 23, 2010

Alexandre B Blaivas is a Psychiatry & Neurology, Psychiatry based in Staten Island, NY. Alexandre B Blaivas practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Alexandre B Blaivas is 1063696326 and holds a License No. 234568 (MA). The current practice location address for Alexandre B Blaivas is 75 Vanderbilt Ave, Fifth Floor, Staten Island, NY 10304-2604 and can be reached out via phone at 718-818-6131.

Provider Profile Details

NPI Number
1063696326
Provider Name
Alexandre B Blaivas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
75 Vanderbilt Ave, Fifth Floor, Staten Island, NY 10304-2604
Phone Number
718-818-6131
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
December 21, 2007
Last Update Date
July 23, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Vanderbilt Ave
Fifth Floor
Staten Island, NY 10304-2604
Zip
10304-2604
Phone Number
718-818-6131
Staten Island, NY 10304Get directions →

Provider Business Mailing Address Details

Address
355 Bard Ave
Staten Island, NY 10310-1664
City
Staten Island
State
NY
Zip
10310-1664
Phone Number
718-818-6131

License Information

License Number
234568
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexandre B Blaivas, MD?

The NPI number of Alexandre B Blaivas, MD is 1063696326. It was assigned on December 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Alexandre B Blaivas, MD?

Alexandre B Blaivas, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 234568.

Where does Alexandre B Blaivas, MD practice?

The practice location is 75 Vanderbilt Ave, Fifth Floor, Staten Island, NY 10304-2604. The office can be reached at 718-818-6131 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063696326 directly on the NPPES registry website.

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