Provider Demographics
NPI:1033506043
Name:ALEXANDER L. BLINSKI MD P.C.
Entity Type:Organization
Organization Name:ALEXANDER L. BLINSKI MD P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:BLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-308-5712
Mailing Address - Street 1:62 CHARLES ST
Mailing Address - Street 2:APT 4
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3087
Mailing Address - Country:US
Mailing Address - Phone:305-308-5712
Mailing Address - Fax:
Practice Address - Street 1:62 CHARLES ST
Practice Address - Street 2:APT 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3087
Practice Address - Country:US
Practice Address - Phone:305-308-5712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272396261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care