Deanna Blankenberg
Individual provider Active NPI Specialist · Ontario, NY
NPI 1336057116 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1336057116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1380 Mountain Laurel LN
Ontario, NY 14519-8632 - Phone
- (585) 315-1076
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
1380 Mountain Laurel LN
Ontario, NY 14519-8632
Mailing address
1380 Mountain Laurel LN
Ontario, NY 14519-8632
Phone (585) 315-1076
Other providers in Ontario, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.