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Robert Blake
NPI 1285029389 · on the registry since 2015 · sole proprietor
Practice
- Address
- 11242 Mills Mills Rd
Fillmore, NY 14735 - Phone
- (214) 223-1567
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 311ZA0620X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York