Alice Marie Blackley, PA

NPI #1124862669 in Lockport, New York

Provider Information

NPI Number
1124862669
Entity Type
Individual
Name
Alice Marie Blackley, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jun 20, 2024
Last Updated
Jun 20, 2024

Practice Location

Address
5879 SNYDER DR
ZIP Code
14094-9497
Phone
(716) 433-8751

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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