Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blair Wiggins, PA

Individual provider Medical Physician Assistant · NPI 1104144369

Blair Wiggins, PA is a Medical Physician Assistant in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-9876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 311 W 35th St, New York, NY 10001-1701 — (212) 736-5900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013582 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 013582-1 (NY)

Record details

NPI number1104144369
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 12, 2010
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

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