National Provider Identifier
Jacqueline Elyse Blaszak, MD
Jacqueline Elyse Blaszak, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 961-6995.
Profile Overview
- NPI
- 1356839286
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 26, 2018
- Last Updated
- August 06, 2021
Practice Location
- 462 Grider St. Erie County Medical Center
- Buffalo, NY 14215
Phone: (716) 961-6995
Mailing Address
- 8117 Preston RD Apogee Physicians
- Suite 800
- Dallas, TX 75225
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1356839286
- Entity Type
- Individual
- Last Name
- Blaszak
- First Name
- Jacqueline
- Middle Name
- Elyse
- Credential
- MD
- Mailing Street Address
- 8117 Preston RD Apogee Physicians
- Mailing Address Line 2
- Suite 800
- Mailing City
- Dallas
- Mailing State
- TX
- Mailing ZIP Code
- 75225
- Mailing Country
- US
- Mailing Phone
- (214) 666-9611
- Mailing Fax
- (208) 697-5214
- Practice Street Address
- 462 Grider St. Erie County Medical Center
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (716) 961-6995
- Practice Fax
- (716) 898-5193
- Enumeration Date
- April 26, 2018
- Last Updated
- August 06, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)