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BLAKE ALLAN PETERSON
NPI 1790480549
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since April 03, 2023
955 MAIN ST STE 7230, BUFFALO, NY 14203(716) 829-2012(716) 829-3999 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blake Allan Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE ALLAN PETERSON (NPI 1790480549) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1790480549
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE ALLAN PETERSON
Location Address955 MAIN ST STE 7230Buffalo, NY 14203-1121
Mailing Address955 Main St Ste 7230Buffalo, NY 14203-1121 · (716) 829-2012 · Fax (716) 829-3999
Phone(716) 829-2012
Fax(716) 829-3999
Sole ProprietorNo
Enumeration DateApril 3, 2023
NPPES CertifiedApril 1, 2023
✔ NPI 1790480549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

955 MAIN ST STE 7230, Buffalo, NY 14203
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

KATERYNA ZELENOVA MD
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-6124
DR. ALANA FRASER DDS
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-2012
CORRINE SOFIA KICKEL
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-5997
DR. ISADORA FRAZAO LINFORD MD
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-2012
NOOR MEHANDI
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (832) 623-9159
MOHAMMED AMER MOHAMMED MOHAMMED
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-5997
ANTHONY MITCHELL
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-2012
DR. LESTER ERNESTO BAYONA CHUYE MD
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-6132
CONSTANCE K HOWARD DO
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-2012
JACOB ORDELL KROGSTAD
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 898-5104
TAE HEE KIM MD
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-2012
MODY AMIN
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 898-4578
DR. ANDREW HENRY CHANG MD
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 898-3627
ARSLAN INAYAT MD
Internal Medicine
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-5997
GABRIELA MARIE KLANSKY D.O.
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-2012
TERRY XIA MD
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-2012
NOAH PETTI
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-2012
TAYLOR RILEY
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-2012
JEANVIEVE L CANNON
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-6132
LOREN WRIGHT-WHITSON DO
Student in an Organized Health Care Education/Training Program
955 MAIN ST STE 7230
BUFFALO, NY 14203
Erie County (716) 829-6132

Frequently Asked Questions

What is Blake Peterson's NPI number?

The NPI number assigned to this healthcare provider is 1790480549, enumerated as an "individual" on April 03, 2023.

Where is the provider located?

The provider is located at 955 MAIN ST STE 7230 BUFFALO, NY 14203 and the phone number is (716) 829-2012.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.