National Provider Identifier

Netta L Blakes

Netta L Blakes is listed in the NPPES registry with a primary specialty of Specialist in Penn Yan, NY and a listed phone number of (315) 536-2601.

NPI 1548602717Penn Yan, NYSpecialist

Profile Overview

NPI
1548602717
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 29, 2013
Last Updated
July 29, 2013

Practice Location

  • 270 Lake St
  • Penn Yan, NY 14527-1832

Phone: (315) 536-2601

Mailing Address

  • 4186 State Route 414
  • Seneca Falls, NY 13148-9530

Specialties

  • Specialist (174400000X)
Full Record
NPI
1548602717
Entity Type
Individual
Last Name
Blakes
First Name
Netta
Middle Name
L
Name Prefix
Mrs.
Mailing Street Address
4186 State Route 414
Mailing City
Seneca Falls
Mailing State
NY
Mailing ZIP Code
13148-9530
Mailing Country
US
Mailing Phone
(315) 536-2601
Practice Street Address
270 Lake St
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1832
Practice Country
US
Practice Phone
(315) 536-2601
Enumeration Date
July 29, 2013
Last Updated
July 29, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)