National Provider Identifier

Victoria Blaker, NP

Victoria Blaker, NP is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7005.

NPI 1104482447Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1104482447
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
May 13, 2019
Last Updated
April 22, 2021

Practice Location

  • 1555 Long Pond RD
  • Rochester, NY 14626-4122

Phone: (585) 723-7005

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Medical Physician Assistant (363AM0700X)

Endpoints

  • vblaker280442@direct.rochesterregional.org

    Direct Messaging Address | Rochester, NY 14626

Full Record
NPI
1104482447
Entity Type
Individual
Last Name
Blaker
First Name
Victoria
Credential
NP
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 723-7005
Practice Street Address
1555 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4122
Practice Country
US
Practice Phone
(585) 723-7005
Practice Fax
(585) 723-7045
Enumeration Date
May 13, 2019
Last Updated
April 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)