| Karly Diana Blase, PHYSICIAN ASSISTANT | |
|
47 New Scotland Ave, Albany, NY 12208-3412 | |
| (518) 262-3131 | |
| Not Available |
| Full Name | Karly Diana Blase |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 47 New Scotland Ave, Albany, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891349098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA57042 (California) | Secondary |
| 363A00000X | Physician Assistant | 024029 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Divinity Medical Services Pllc | 5193030245 | 85 |
| Mailing Address | Practice Location Address |
|---|---|
| Karly Diana Blase, PHYSICIAN ASSISTANT 200 Truax Ln, Guilderland, NY 12084-3502 Ph: (347) 397-5215 | Karly Diana Blase, PHYSICIAN ASSISTANT 47 New Scotland Ave, Albany, NY 12208-3412 Ph: (518) 262-3131 |
Karen L Bertasso, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd, Albany, NY 12205 Phone: 518-489-2663 | |
Sean William Leahy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1367 Washington Ave Ste 200, Albany, NY 12206 Phone: 518-489-2999 Fax: 518-489-5933 | |
Brianna Samson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-5332 | |
Pavel Voronko, MS,PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 121 Everett Rd, Albany, NY 12205 Phone: 518-453-9088 Fax: 518-453-9088 | |
Elizabeth Howard Mahan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Palisades Dr Ste 100, Albany, NY 12205 Phone: 518-438-4496 | |
Nicoletta Serafina Pacilli, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-5634 | |
Mrs. Lynn Ann Craft, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-5776 Fax: 518-525-6815 |