Michael Blase
Case Manager/Care Coordinator in Latham, NY. Individual provider (NPI-1).
NPI number1639628423
StatusActive
Last updated in NPPESSep 22, 2016
Details
- NPI
- 1639628423
- Entity type
- Individual (NPI-1)
- Name
- Michael Blase
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2016
- Last updated
- Sep 22, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
7 Avis DrLatham, NY 12110-2619
Phone 518-250-4224 · Fax 518-250-4227
Mailing address
7 Avis DrLatham, NY 12110-2619
Phone 518-250-4224 · Fax 518-250-4227
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Case Manager/Care Coordinator providers in Latham · All 1,309 providers in Latham
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