National Provider Identifier
Alice Marie Blackley, PA
Alice Marie Blackley, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Lockport, NY and a listed phone number of (716) 433-8751.
Profile Overview
- NPI
- 1124862669
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 20, 2024
- Last Updated
- June 20, 2024
Practice Location
- 5879 Snyder Dr
- Lockport, NY 14094-9497
Phone: (716) 433-8751
Mailing Address
- PO Box 488
- Buffalo, NY 14240-0488
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1124862669
- Entity Type
- Individual
- Last Name
- Blackley
- First Name
- Alice
- Middle Name
- Marie
- Credential
- PA
- Mailing Street Address
- PO Box 488
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14240-0488
- Mailing Country
- US
- Mailing Phone
- (716) 852-4772
- Practice Street Address
- 5879 Snyder Dr
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-9497
- Practice Country
- US
- Practice Phone
- (716) 433-8751
- Enumeration Date
- June 20, 2024
- Last Updated
- June 20, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 20, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)