Search › New York › 207P00000X
Blake Peterson
NPI 1790480549 · on the registry since 2023
Practice
- Address
- 955 Main St Ste 7230
Buffalo, NY 14203 - Phone
- (716) 829-2012
- Fax
- (716) 829-3999
- Clinicians at this address
- 103
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-31
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