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Peter Edward Blake, DO
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1992446249

Peter Edward Blake is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Peter Edward Blake practices in Buffalo, NY and has the professional credentials of DO. The NPI Number for Peter Edward Blake is 1992446249 and holds a License No. (New York).

The current practice location address for Peter Edward Blake is 77 Goodell St Ste 340, Buffalo, NY and can be reached out via phone at 716-645-9707.

Location: 77 Goodell St Ste 340, Buffalo, NY, 14203-1243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992446249
Provider Name
Peter Edward Blake
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
77 Goodell St Ste 340, Buffalo, NY, 14203-1243
Phone Number
716-645-9707
Fax Number
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
77 Goodell St Ste 340
City
Buffalo
State
New York
Zip
14203-1243
Phone Number
716-645-9707
Fax Number
person
Provider Business Mailing Address Details
Address
77 Goodell St Ste 340
City
Buffalo
State
New York
Zip
14203-1243
Phone Number
716-645-9707
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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