National Provider Identifier

Alexandra Michelle Blackman, M.D.

Alexandra Michelle Blackman, M.D. is listed in the NPPES registry with a primary specialty of Gynecologic Oncology Physician in Rochester, NY and a listed phone number of (585) 275-3733.

NPI 1811423494Rochester, NYGynecologic Oncology Physician

Profile Overview

NPI
1811423494
Provider Type
Individual
Primary Specialty
Gynecologic Oncology Physician
Enumeration Date
May 03, 2017
Last Updated
October 30, 2024

Practice Location

  • 601 Elmwood Ave
  • Box 668
  • Rochester, NY 14642-0001

Phone: (585) 275-3733

Mailing Address

  • 601 Elmwood Ave Box 668
  • Rochester, NY 14642-0001

Specialties

  • Gynecologic Oncology Physician (207VX0201X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1811423494
Entity Type
Individual
Last Name
Blackman
First Name
Alexandra
Middle Name
Michelle
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
601 Elmwood Ave Box 668
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(315) 730-9091
Practice Street Address
601 Elmwood Ave
Practice Address Line 2
Box 668
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-3733
Enumeration Date
May 03, 2017
Last Updated
October 30, 2024
Sex
Female
Sole Proprietor
No
Certification Date
October 30, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Gynecologic Oncology Physician (207VX0201X), Student in an Organized Health Care Education/Training Program (390200000X)