Doctor Name: | DR. MARK E. BLAKER |
NPI Number: | 1063406171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 150221 |
Business Practice Address: | 1729 Burrstone Rd New Hartford, NY - 134131001 |
Business Phone Number: | 3157981700 |
Business Fax Number: | 3157981707 |
Mailing Address: | 1729 Burrstone Rd, NEW HARTFORD |
State: | NY |
Postal Code: | 134131001 |
Phone Number: | 3157981700 |
Fax Number: | 3157981707 |
NPI Enumeration Date: | 09/02/2005 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 150221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |