Provider Demographics
NPI:1215969399
Name:BLAKNEY, JAMES ELBERT (PA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ELBERT
Last Name:BLAKNEY
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:2400 US ROUTE 9
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-4725
Practice Address - Country:US
Practice Address - Phone:845-231-5600
Practice Address - Fax:845-537-5977
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2016-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY003141363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400024272Medicare PIN
NYA400123212Medicare PIN
NYS72122Medicare UPIN