person
Mr. Dwayne Blake, FNP
Family Nurse Practitioner in Floral Park, New York
NPI 1194480335

Dwayne Blake is a Family Nurse Practitioner based in Floral Park, NY and is specialized in Family. Dwayne Blake practices in Floral Park, NY and has the professional credentials of FNP. The NPI Number for Dwayne Blake is 1194480335 and holds a License No. 348517 (New York).

The current practice location address for Dwayne Blake is 372 Jericho Tpke, Floral Park, NY and can be reached out via phone at 516-326-3811.

Location: 372 Jericho Tpke, Floral Park, NY, 11001-2235
person
Provider Profile Details
NPI Number
1194480335
Provider Name
Dwayne Blake
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
372 Jericho Tpke, Floral Park, NY, 11001-2235
Phone Number
516-326-3811
Fax Number
Provider Enumeration Date
11/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
372 Jericho Tpke
City
State
Zip
11001-2235
Phone Number
516-326-3811
Fax Number
person
Provider Business Mailing Address Details
Address
372 Jericho Tpke
City
State
Zip
11001-2235
Phone Number
516-326-3811
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
348517 (New York)
Definition
Definition to come...
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