National Provider Identifier
Joseph Blood, PAC
Joseph Blood, PAC is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1679501811
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 28, 2006
- Last Updated
- August 21, 2023
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4011
Mailing Address
- 763 S Main St
- Athens, PA 18810-1009
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1679501811
- Entity Type
- Individual
- Last Name
- Blood
- First Name
- Joseph
- Name Prefix
- Dr.
- Credential
- PAC
- Mailing Street Address
- 763 S Main St
- Mailing City
- Athens
- Mailing State
- PA
- Mailing ZIP Code
- 18810-1009
- Mailing Country
- US
- Mailing Phone
- (570) 888-0239
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Practice Fax
- (607) 274-4132
- Enumeration Date
- June 28, 2006
- Last Updated
- August 21, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)