Individual
BLANKA HEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
100 HIGH ST, SUITE B252, BUFFALO, NY 14203-1126
(716) 852-1977
Mailing address
3 QUAIL RUN LN, LANCASTER, NY 14086-1443
(716) 852-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008733-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02285129
—
NY
Enumeration date
06/04/2006
Last updated
07/29/2009
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