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Individual

JODY S BLEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5100 W TAFT RD, SUITE 4J, LIVERPOOL, NY 13088-3807
(315) 701-2170
(315) 701-2186
Mailing address
6221 STATE ROUTE 31, SUITE 104, CICERO, NY 13039-8715
(315) 752-0141
(315) 752-0142

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
136547
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00714512
NY
Enumeration date
06/30/2005
Last updated
09/05/2008
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