Miss. Kadian Alicia Blake
Miss. Kadian Alicia Blake is a Physician Assistant in Bronx, New York. Graduated from State University of New York Downstate Medical Center in 2008, 18 years ago. Practices with East Post Road Medical Services PC, a 415-clinician group and accepts Medicare assignment.
- Years since qualifying
- 18
- Trained at
- State University of New York Downstate Medical Center
- In the registry since
- 2008
Practice location Address checks out
1053 Burke AveBronx, NY 10469-3820
Phone: (917) 569-7845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1033354410 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 12, 2008 |
| Last updated in NPPES | December 12, 2008 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduated | 2008 (18 years in practice) |
| Group practice | East Post Road Medical Services Pc — 415 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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