National Provider Identifier
Johan Blickman, M.D.
Johan Blickman, M.D. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Rochester, NY and a listed phone number of (585) 275-2734.
Profile Overview
- NPI
- 1013145838
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- July 01, 2009
- Last Updated
- July 01, 2009
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-8648
Phone: (585) 275-2734
Specialties
- Diagnostic Radiology Physician (2085R0202X)
- Pediatric Radiology Physician (2085P0229X)
Full Record
- NPI
- 1013145838
- Entity Type
- Individual
- Last Name
- Blickman
- First Name
- Johan
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8648
- Mailing Country
- US
- Mailing Phone
- (585) 275-2734
- Mailing Fax
- (585) 273-1033
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-8648
- Practice Country
- US
- Practice Phone
- (585) 275-2734
- Practice Fax
- (585) 273-1033
- Enumeration Date
- July 01, 2009
- Last Updated
- July 01, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X), Pediatric Radiology Physician (2085P0229X)