Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROXANNE BLAKE
Active Sole ProprietorROXANNE BLAKE is a Podiatric Surgery healthcare provider located in FREDONIA, New York. NPI 1790336337 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · FREDONIA, NY
Registration Details
- NPI Number
- 1790336337
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2019 (6.904078936317 yrs)
- Last Updated
- Sep 25, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
34 RYAN PLFREDONIA, NY, 140632300Browse NY providers · Browse ZIP 14063
- Phone
- 7169923383
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.