Blaze Fahnestock is a Pulaski, New York based nurse practitioner with 5 years of experience in . She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Blaze Fahnestock is 346711 in New York. Her current practice location is 61 Delano St, Pulaski. Patients can reach her at 315-298-6569. Blaze Fahnestock is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1386246692. Blaze Fahnestock has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Blaze Fahnestock speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1355753229
Enrollment ID:
I20201217001211
NPI Number:
1386246692
NPI Enumeration Date:
11 Nov, 2020
NPI Last Update On:
13 Feb, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blaze Fahnestock are as mentioned below.
License Number
Specialization
State
Status
346711
New York
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(330218)
Oswego, NY
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Blaze Fahnestock is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northern Oswego County Health Services, Inc. (8426961541)
11
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Blaze Fahnestock 61 Delano St, Pulaski, New York
Zip:
13142-1400
Phone Number:
315-298-6569
Patients can reach Blaze Fahnestock at 61 Delano St, Pulaski, New York or can call to book an appointment on 315-298-6569.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.