| Robert Demarest Blake Jr, | |
|
11242 Mills Mills Rd, Fillmore, NY 14735-8622 | |
| (214) 223-1567 | |
| Not Available |
| Full Name | Robert Demarest Blake Jr |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 11242 Mills Mills Rd, Fillmore, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285029389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 251326-1 (New York) | Primary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | 251326-1 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Demarest Blake Jr, 11242 Mills Mills Rd, Fillmore, NY 14735-8622 Ph: (214) 223-1567 | Robert Demarest Blake Jr, 11242 Mills Mills Rd, Fillmore, NY 14735-8622 Ph: (214) 223-1567 |
Ms. Cassandra Marie Wendt, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5903 W River Rd Apt 6, Fillmore, NY 14735 Phone: 585-307-1448 | |
Lisa Voss, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 36 North Genesee Street, Fillmore, NY 14735 Phone: 585-567-8486 | |
Mrs. Patricia Margret Johns, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10457 Bernard St, Fillmore, NY 14735 Phone: 585-567-4743 | |
Naomi Jo Bennion, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10908 Route 19, Fillmore, NY 14735 Phone: 585-567-8296 | |
Tara Marie Armison, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10906 Route 19a, Fillmore, NY 14735 Phone: 585-610-8087 |