Individual
MARK BLAZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CRNA
Contact information
Practice address
601 ELMWOOD AVE BOX 604, ROCHESTER, NY 14642-5724
(585) 275-1385
Mailing address
601 ELMWOOD AVE BOX 604, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2266306
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
605854
NY
367500000X
Certified Registered Nurse Anesthetist
RN2266306
MA
Other
Enumeration date
11/19/2014
Last updated
02/19/2025
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