Blondell, Richard D

Blondell, Richard D is an individual health care provider with primary practice located at 1408 Sweet Home Rd Ste 9 , Amherst NY 14228-2783. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Blondell, Richard D can be contacted via phone (716) 247-5281.

Contact Information

Primary practice address
1408 Sweet Home Rd Ste 9 Amherst NY 14228-2783
Fax: (716) 204-0670
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 146100 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 146100 New York

Profile Details

NPI number 1255324547
LBN Legal business name Blondell, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255324547 NPPES
New York MEDICAID 02364616

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