Name
Nancy Catherine Blake
Year of birth
1962
Source
USA - Health and Human Services List of Excluded Individuals and Entities
Aliases
Privacy Request
Additional Information
General: PHYSICIAN (MD, DO)
Specialty: FAMILY PRACTICE
Medical license number: 1528000668
Address: 2660 WEST GENESEE TURNPIKE, #1
City: CAMILLUS
State: NY
Zip code: 13031
Exclusion type: License revocation, suspension, or surrender. Minimum Period: Period imposed by the state licensing authority. (Social Security Act: 1128(b)(4), 42 USC §: 1320a-7(b)(4))
Exclusion date: 2019-01-20