Individual
MISS ALLISON CLAIRE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1465 FOOTE AVENUE EXT, JAMESTOWN, NY 14701-9383
(716) 526-4041
Mailing address
1465 FOOTE AVENUE EXT, JAMESTOWN, NY 14701-9383
(716) 969-5740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022369
NY
363A00000X
Physician Assistant
MA059987
PA
Other
Enumeration date
07/30/2018
Last updated
12/05/2025
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