National Provider Identifier
Roxanne Blake
Roxanne Blake is listed in the NPPES registry with a primary specialty of Attendant Care Provider in Fredonia, NY and a listed phone number of (716) 992-3383.
Profile Overview
- NPI
- 1790336337
- Provider Type
- Individual
- Primary Specialty
- Attendant Care Provider
- Enumeration Date
- September 25, 2019
- Last Updated
- September 25, 2019
Practice Location
- 34 Ryan Pl
- Fredonia, NY 14063-2300
Phone: (716) 992-3383
Specialties
- Attendant Care Provider (3747A0650X)
Full Record
- NPI
- 1790336337
- Entity Type
- Individual
- Last Name
- Blake
- First Name
- Roxanne
- Mailing Street Address
- 34 Ryan Pl
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-2300
- Mailing Country
- US
- Mailing Phone
- (716) 992-3383
- Practice Street Address
- 34 Ryan Pl
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-2300
- Practice Country
- US
- Practice Phone
- (716) 992-3383
- Enumeration Date
- September 25, 2019
- Last Updated
- September 25, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Attendant Care Provider (3747A0650X)