Healthcare Provider Details

I. General information

NPI: 1669472080
Provider Name (Legal Business Name): GEORGE A BLESSIOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COLLEGE PKWY STE 120
WILLIAMSVILLE NY
14221-6880
US

IV. Provider business mailing address

100 COLLEGE PKWY STE 120
WILLIAMSVILLE NY
14221-6880
US

V. Phone/Fax

Practice location:
  • Phone: 716-480-2203
  • Fax: 716-822-2424
Mailing address:
  • Phone: 716-480-2203
  • Fax: 716-822-2424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number219980
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number219980
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: