Individual ProviderAlice M BlairNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2057(718) 245-4609(718) 444-9249PECOS EnrollmentBased on the most recent information from CMS, provider Alice M Blair does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053390393Provider TypeIndividualFull NameBlair, Alice MTitleMrs.CredentialF.N.PGenderFemaleEnumeration Date1/14/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2057Phone(718) 245-4609Fax(718) 245-4799Mailing LocationMailing Address1269 E 53rd St, Brooklyn, NY 11234-2300Phone(718) 444-9249FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF334237New York