Provider Demographics
NPI:1265844195
Name:JOSEPH, BLESSEY MARY (MD)
Entity Type:Individual
Prefix:
First Name:BLESSEY
Middle Name:MARY
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1575 HILLSIDE AVENUE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:516-352-1804
Mailing Address - Fax:516-352-1449
Practice Address - Street 1:1575 HILLSIDE AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:516-352-1804
Practice Address - Fax:516-352-1449
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2019-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY291053207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine