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

Richard Blazeski

Individual provider Physician Assistant · NPI 1407684905

Richard Blazeski is a Physician Assistant in Port Jervis, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

11 Orchard St
Port Jervis, NY 12771-2027
Phone: (845) 672-3995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9 Orchard Street, Port Jervis, NY 12771 — (845) 672-3017

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032493 (NY)

Record details

NPI number1407684905
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address60 Sinsabaugh Rd, Pine Bush, NY 12566-5461

Other providers in Port Jervis