Healthcare Provider Details

I. General information

NPI: 1306692793
Provider Name (Legal Business Name): BLESSING ELENSI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 STATE ST
SCHENECTADY NY
12304-2610
US

IV. Provider business mailing address

4370 SHREWBURY PL
LAND O LAKES FL
34638-3761
US

V. Phone/Fax

Practice location:
  • Phone: 518-370-1441
  • Fax: 518-395-9431
Mailing address:
  • Phone: 813-475-1461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number061641
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: