Provider Demographics
NPI:1033688254
Name:BLISS, ERICKA LEE (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:ERICKA
Middle Name:LEE
Last Name:BLISS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 RED CREEK DR STE 210
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-4285
Mailing Address - Country:US
Mailing Address - Phone:585-487-3480
Mailing Address - Fax:
Practice Address - Street 1:500 RED CREEK DR STE 210
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4285
Practice Address - Country:US
Practice Address - Phone:585-487-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS