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NPI Code Detail

MEDICARE: ANNEMARIE BLANCHARD RPAC

MEDICARE: ANNEMARIE BLANCHARD RPAC
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
1363AM0700XMedical Physician Assistant003471NY
2363A00000XPhysician Assistant003471NY

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 : 1881630184
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNEMARIE BLANCHARD RPAC
Provider Business Mailing Address
First Line : 309 UPPER FALLS BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-2105
Country : US
Telephone Number : 585-922-0260
Fax Number : 585-922-0230
Provider Business Practice Location Address
First Line : 309 UPPER FALLS BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-2105
Country : US
Telephone Number : 585-922-0260
Fax Number : 585-922-0230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 04/29/2021

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Directions to “ ANNEMARIE BLANCHARD RPAC” Practice Location

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