DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LOGAN D BLUNK D.O.

MEDICARE: LOGAN D BLUNK D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician310721NY
2207L00000XAnesthesiology PhysicianOS19220FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558895201
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOGAN D BLUNK D.O.
Provider Business Mailing Address
First Line : 3871 HARLEM RD STE 202
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1946
Country : US
Telephone Number : 716-836-7510
Fax Number : 716-832-3540
Provider Business Practice Location Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2692
Country : US
Telephone Number : 716-836-7510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2017
Last Update Date : 11/17/2025

Similar Medicare Providers

1972454916 — TRINITY JOY SULLIVAN
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:
1578949467 — MORGAN ELIZABETH KILCULLEN P.A.
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:
1255717039 — DR. RICHARD VIGH MD
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:
1619322922 — DR. THOMAS MARINO M.D.
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-836-7510
Practice Fax: 716-832-3540
1609320795 — CLARE HALL CNM
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:
1578068771 — DR. ZACHARY LEON BRUMBERGER MD
Practice Location Address:
2157 MAIN ST
BUFFALO, NY
14214-2692
Practice Phone: 716-862-1000
Practice Fax:

Directions to “ LOGAN D BLUNK D.O.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.