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NPI Code Detail

MEDICARE: ERIC JOSEPH BLAZSEK LMHC

MEDICARE:   ERIC JOSEPH BLAZSEK  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1225318207
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC JOSEPH BLAZSEK LMHC
Provider Business Mailing Address
First Line : 36 WINTHROP PL
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3043
Country : US
Telephone Number : 718-420-1521
Fax Number :
Provider Business Practice Location Address
First Line : 57 SAINT MARKS PL
Second Line :
City : NEW YORK
State : NY
Zip : 10003-7902
Country : US
Telephone Number : 212-982-3470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2011
Last Update Date : 04/17/2026

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