Individual provider · Type 1 NPI

Victoria Blaker, NP

Medical Physician Assistant · Rochester, NY

NPI number 1104482447 Active

Practice location

1555 Long Pond Rd
Rochester, NY 14626-4122

Fax (585) 723-7045

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X024210 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1104482447

Victoria Blaker, NP's National Provider Identifier is 1104482447, issued on May 13, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Apr 22, 2021.