National Provider Identifier

Emma Blackley, PA

Emma Blackley, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 748-2100.

NPI 1154842284Buffalo, NYPhysician Assistant

Profile Overview

NPI
1154842284
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 28, 2017
Last Updated
June 28, 2017

Practice Location

  • 875 Ellicott St
  • Buffalo, NY 14203-1070

Phone: (716) 748-2100

Mailing Address

  • 697 East Ave
  • Lockport, NY 14094-3303

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1154842284
Entity Type
Individual
Last Name
Blackley
First Name
Emma
Credential
PA
Mailing Street Address
697 East Ave
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-3303
Mailing Country
US
Practice Street Address
875 Ellicott St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1070
Practice Country
US
Practice Phone
(716) 748-2100
Enumeration Date
June 28, 2017
Last Updated
June 28, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)