Individual
BRIDGET BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 PALM ST, LACKAWANNA, NY 14218-2028
(716) 827-8249
Mailing address
88 PALM ST, LACKAWANNA, NY 14218-2028
(716) 827-8249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297330
NY
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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