Individual
EDGAR ALLEN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 CORPORATE WOODS STE 200C, ROCHESTER, NY 14623-1459
(585) 784-7848
(585) 784-7844
Mailing address
135 CORPORATE WOODS STE 200C, ROCHESTER, NY 14623-1459
(585) 784-7848
(585) 784-7844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
186103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01294453
—
NY
Enumeration date
07/02/2006
Last updated
07/03/2023
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