Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 219980 | NY |
Y | 208200000X | Surgeon | 219980 | NY |
Y | 208600000X | Surgeon | 219980 | NY |
NPI | 1669472080 |
---|---|
Provider Name | George A Blessios |
First Address | West Seneca, NY 14224-2646 |
Second Address | West Seneca, NY 14224-2646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 14/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00025531801 | UNIVERA (01) | NY |
000526338001 | BC/BS (01) | NY |
020049862 | RAILROAD (01) | NY |
02162334 | (05) | NY |
040426002483 | FIDELIS (01) | NY |
1711188 | INDEPENDENT HEALTH (01) | NY |
219980-0-OB | WORKERS COMPENSATION (01) | NY |
9511513 | GHI PPO (01) | NY |
H33027 | (02) | NY |