# VILLAGE MEDICAL OF CNY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770763617
- **Authorized official:** NANCY C BLAKE MD (OWNER & OPERATOR)
- **Authorized official phone:** (315) 457-7800

## Contact information

- **Practice address:** 7523 MORGAN RD, LIVERPOOL, NY 13090-3538
- **Practice address phone:** (315) 457-7800
- **Practice address fax:** (315) 457-7453
- **Mailing address:** PO BOX 340, 4350 MIDDLE SETTLEMENT RD SUITE C, NEW HARTFORD, NY 13413-0340
- **Mailing address phone:** (315) 732-9368
- **Mailing address fax:** (315) 732-9403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 223034-1 | NY | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 11/08/2007