Organization
SHANNON BLAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BLAKE (RN)
(585) 362-9435
Entity
Organization
Contact information
Practice address
55 N EXCHANGE ST, GENEVA, NY 14456-1237
(585) 362-9435
Mailing address
55 N EXCHANGE ST, GENEVA, NY 14456-1237
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
675121-1
NY
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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