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

Karly Diana Blase, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1891349098

Karly Diana Blase, PHYSICIANASSISTANT is a Physician Assistant in Albany, New York. Graduated from Albany Medical College of Union University in 2019, 7 years ago. Practices with Divinity Medical Services PLLC, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
7
Trained at
Albany Medical College of Union University
Licensed in
CA, NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

47 New Scotland Ave
Albany, NY 12208-3412
Phone: (518) 262-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Greenley Rd, Sonora, CA 95370-5200 — (209) 536-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 024029 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA57042 (CA)

Record details

NPI number1891349098
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 26, 2019
Last updated in NPPESOctober 21, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Divinity Medical Services Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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