MEDICARE: BLUESKY MEDCIAL PC

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1952262438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUESKY MEDCIAL PC

Provider Business Mailing Address
First Line	:	7620 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-1532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7620 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-1532
Country	:	US
Telephone Number	:	347-884-1540
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	ALEXANDR DRON
Credential	:	MD
Telephone Number	:	347-884-1540

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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Directions to “BLUESKY MEDCIAL PC ” Practice Location

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