National Provider Identifier
Johnny James Di Blasi, D.O.
Johnny James Di Blasi, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Batavia, NY and a listed phone number of (585) 343-6030.
Profile Overview
- NPI
- 1386058469
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 17, 2014
- Last Updated
- November 15, 2016
Practice Location
- 127 North St
- Batavia, NY 14020-1631
Phone: (585) 343-6030
Mailing Address
- 1016 Liberty Park Dr
- Braselton, GA 30517-1884
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1386058469
- Entity Type
- Individual
- Last Name
- Di Blasi
- First Name
- Johnny
- Middle Name
- James
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 1016 Liberty Park Dr
- Mailing City
- Braselton
- Mailing State
- GA
- Mailing ZIP Code
- 30517-1884
- Mailing Country
- US
- Mailing Phone
- (904) 482-9673
- Practice Street Address
- 127 North St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1631
- Practice Country
- US
- Practice Phone
- (585) 343-6030
- Enumeration Date
- June 17, 2014
- Last Updated
- November 15, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)