NANCY C BLAKE (NPI# 1528000668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528000668 |
| Entity Type | Individual |
| Full Name | NANCY C BLAKE |
| Credential | MD |
| Practice Address |
7523 Morgan Rd Village Medical of Cny Liverpool NY 13090-3538 |
| Mailing Address |
Po Box 340 New Hartford NY 13413-0340 |
| Practice Telephone | 3154577800 |
| Practice Fax Number | 3154577453 |
| Mailing Telephone | 3157329368 |
| Mailing Fax Number | 3157329403 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 223034-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124453378 | Nancy Blake | Social Worker | 69 Oak Dr, Upper Saddle River, NJ 07458-2214 | 2013-09-06 |
| 1477828200 | Nancy Camille Blake | Nurse Anesthetist, Certified Registered | 202 Woodhaven Rd, Greenville, NC 27834-6920 | 2012-03-12 |
| 1063943900 | Nancy Clare Blake | Behavioral Analyst | 1663 Mission St Ste 400, San Francisco, CA 94103-2485 | 2017-03-22 |
| 1104998525 | Nancy A. Blake | Social Worker | 23811 Chagrin Blvd, Suite 310, Beachwood, OH 44122-5525 | 2006-11-14 |
| Street Address |
7523 MORGAN RD VILLAGE MEDICAL OF CNY |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770763617 | Village Medical of Cny, PC | Family Medicine | 7523 Morgan Rd, Liverpool, NY 13090-3538 | 2007-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546049 | Britnee Nichole Williams | Family Medicine | 1 Galbraith Ct, Liverpool, NY 13090-3904 | 2019-06-11 |
| 1023186061 | Brian Keith Smith | Family Medicine | 8324 Oswego Rd, Ste D, Liverpool, NY 13090-1086 | 2006-11-30 |
| 1164597498 | Lauri Ann Fairbanks Doane | Family Medicine | 8100 Oswego Road, Suite 220, Liverpool, NY 13090 | 2006-11-21 |
| 1124008263 | Christian L Holcomb | Family Medicine | 8134a Oswego Rd, Liverpool, NY 13090 | 2006-01-17 |
| 1174974216 | Jenna Marie Laskey | Family Medicine | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2016-06-30 |
| 1104276252 | Ny Primary Care Practice PC | Family Medicine | 7375 Oswego Rd, Suite 2, Liverpool, NY 13090-3717 | 2016-06-20 |
| 1629324843 | Sylvia Lee | Family Medicine | 5100 W Taft Rd, Liverpool, NY 13088-3807 | 2012-07-25 |
| 1174802540 | Christian L Holcomb Md, PC | Family Medicine | 8134 Oswego Rd, Suite A, Liverpool, NY 13090-1500 | 2011-08-16 |
| 1215215421 | Wei-yu Chou | Family Medicine | 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 | 2011-07-22 |
| 1700177417 | Scott Allan | Family Medicine | 5100 West Taft Road., Suite 1c, Liverpool, NY 13088 | 2011-04-28 |
| Find all providers in LIVERPOOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.