National Provider Identifier
Meredith Grace Blackburn, PA
Meredith Grace Blackburn, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 341-7500.
Profile Overview
- NPI
- 1558079624
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 08, 2022
- Last Updated
- December 11, 2024
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 341-7500
Mailing Address
- 601 Elmwood Ave Box 673
- Rochester, NY 14642-0001
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1558079624
- Entity Type
- Individual
- Last Name
- Blackburn
- First Name
- Meredith
- Middle Name
- Grace
- Credential
- PA
- Mailing Street Address
- 601 Elmwood Ave Box 673
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 341-7500
- Enumeration Date
- November 08, 2022
- Last Updated
- December 11, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)