National Provider Identifier
David Daniel Blasczak, MD
David Daniel Blasczak, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Clyde, NY and a listed phone number of (315) 923-2721.
Profile Overview
- NPI
- 1164436960
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 28, 2006
- Last Updated
- March 13, 2008
Practice Location
- 2 W Genesee St
- Clyde, NY 14433-1126
Phone: (315) 923-2721
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1164436960
- Entity Type
- Individual
- Last Name
- Blasczak
- First Name
- David
- Middle Name
- Daniel
- Credential
- MD
- Mailing Street Address
- 2 W Genesee St
- Mailing City
- Clyde
- Mailing State
- NY
- Mailing ZIP Code
- 14433-1126
- Mailing Country
- US
- Mailing Phone
- (315) 923-2721
- Mailing Fax
- (315) 923-5023
- Practice Street Address
- 2 W Genesee St
- Practice City
- Clyde
- Practice State
- NY
- Practice ZIP Code
- 14433-1126
- Practice Country
- US
- Practice Phone
- (315) 923-2721
- Practice Fax
- (315) 923-5023
- Enumeration Date
- July 28, 2006
- Last Updated
- March 13, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 00485507 (NY)