David Daniel Blasczak, MD is a
Family Medicine physician based in Clyde, New York. David Daniel Blasczak is licensed to practice in New York (license number 142005) and his current practice location is 2 W Genesee St, Clyde, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 923-2721.
NPI number for David Daniel Blasczak is 1164436960 and his current mailing address is 2 W Genesee St, Clyde, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164436960.
Physician's Profile
| Full Name | David Daniel Blasczak |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2 W Genesee St, Clyde, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164436960
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 03/13/2008
Medical Identifiers
Medical identifiers for David Daniel Blasczak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164436960 | NPI | - | NPPES |
| 00485507 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 142005 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Daniel Blasczak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David Daniel Blasczak, MD
2 W Genesee St,
Clyde, NY 14433-1126
Ph: (315) 923-2721 | David Daniel Blasczak, MD
2 W Genesee St,
Clyde, NY 14433-1126
Ph: (315) 923-2721 |
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