Individual provider · Type 1 NPI

Holly Blaakman Line, PA-C

Physician Assistant · Rochester, NY

NPI number 1679093280 Active

Practice location

755 Jefferson Rd Ste 110
Rochester, NY 14623-3270

Fax (585) 385-6071

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0208361

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679093280

Holly Blaakman Line, PA-C's National Provider Identifier is 1679093280, issued on Jun 23, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rochester, NY. The record was last updated on Aug 14, 2026.