National Provider Identifier
Blesilda S So, MD
Blesilda S So, MD is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Jamestown, NY and a listed phone number of (716) 483-3520.
Profile Overview
- NPI
- 1760421655
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- June 06, 2006
- Last Updated
- February 18, 2016
Practice Location
- 15 S Main St
- Suite 130
- Jamestown, NY 14701-6636
Phone: (716) 483-3520
Mailing Address
- 15 S Main St
- Suite 300
- Jamestown, NY 14701-6636
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1760421655
- Entity Type
- Individual
- Last Name
- So
- First Name
- Blesilda
- Middle Name
- S
- Credential
- MD
- Mailing Street Address
- 15 S Main St
- Mailing Address Line 2
- Suite 300
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6636
- Mailing Country
- US
- Mailing Phone
- (716) 483-3520
- Mailing Fax
- (716) 483-3593
- Practice Street Address
- 15 S Main St
- Practice Address Line 2
- Suite 130
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6636
- Practice Country
- US
- Practice Phone
- (716) 483-3520
- Practice Fax
- (716) 483-3593
- Enumeration Date
- June 06, 2006
- Last Updated
- February 18, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 2360098 (NY), J400168913 (NY, Medicare Ptan)