Provider Demographics
NPI:1609890805
Name:BLESER, KAREN ANN (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:BLESER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1201 NOTT ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2589
Mailing Address - Country:US
Mailing Address - Phone:518-382-7500
Mailing Address - Fax:518-382-7572
Practice Address - Street 1:1201 NOTT ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2589
Practice Address - Country:US
Practice Address - Phone:518-382-7500
Practice Address - Fax:518-382-7572
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2010-03-25
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Provider Licenses
StateLicense IDTaxonomies
NY241705207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY300750OtherSENIOR WHOLE HEALTH
NY7964902OtherAETNA
NY9042544OtherMVP HEALTHCARE
NY088CX1OtherEMPIRE BLUECROSS
NY143316OtherGHI/HMO
NYPRC110118544OtherCDPHP
NY02845710Medicaid
NY100127000085OtherFIDELIS
NY143316OtherGHI/HMO
NYPRC110118544OtherCDPHP