National Provider Identifier
Paul Blackcloud, M.D.
Paul Blackcloud, M.D. is listed in the NPPES registry with a primary specialty of Dermatology Physician in Rochester, NY and a listed phone number of (585) 275-7546.
Profile Overview
- NPI
- 1417319187
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- March 22, 2016
- Last Updated
- July 07, 2023
Practice Location
- 40 Celebration Dr
- Rochester, NY 14620-2664
Phone: (585) 275-7546
Mailing Address
- 601 Elmwood Ave Box 278797
- Rochester, NY 14642-5631
Specialties
- Dermatology Physician (207N00000X)
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1417319187
- Entity Type
- Individual
- Last Name
- Blackcloud
- First Name
- Paul
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave Box 278797
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-5631
- Mailing Country
- US
- Mailing Phone
- (585) 275-7546
- Practice Street Address
- 40 Celebration Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2664
- Practice Country
- US
- Practice Phone
- (585) 275-7546
- Enumeration Date
- March 22, 2016
- Last Updated
- July 07, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 27, 2021
- Taxonomies
- Dermatology Physician (207N00000X), Certified Registered Nurse Anesthetist (367500000X)