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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID DANIEL BLASCZAK, MD

Active

DAVID DANIEL BLASCZAK, MD is a Family Medicine healthcare provider located in CLYDE, New York. NPI 1164436960 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CLYDE, NY

Registration Details

NPI Number
1164436960
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2006 (20.087890613996 yrs)
Last Updated
Mar 13, 2008
License
142005 (NY)

Practice Information

Address
2 W GENESEE ST
CLYDE, NY, 144331126
Browse NY providers · Browse ZIP 14433
Phone
3159232721
Fax
3159235023
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.