Individual
KAREN BLANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACE CPT
Contact information
Practice address
810 LAWRENCE RD, HILTON, NY 14468-9198
(585) 507-9326
Mailing address
50 PUBLIC SQ, HOLLEY, NY 14470-1129
(585) 507-9326
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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