Jenny Blas
Physician Assistant in Brooklyn, NY. Individual provider (NPI-1).
NPI number1073481982
StatusActive
Last updated in NPPESOct 23, 2025
Details
- NPI
- 1073481982
- Entity type
- Individual (NPI-1)
- Name
- Miss Jenny Blas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2025
- Certification date
- Oct 23, 2025
- Last updated
- Oct 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | NY | Yes |
Practice location
1410 E 2nd StBrooklyn, NY 11230-5517
Phone 347-666-6960
Mailing address
1410 E 2nd StBrooklyn, NY 11230-5517
Phone 347-666-6960
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