person
Trystan Blake, DO
Student in an Organized Health Care Education/Training Program in Middletown, New York
NPI 1275114753

Trystan Blake is a Student in an Organized Health Care Education/Training Program based in Middletown, NY. Trystan Blake practices in Middletown, NY and has the professional credentials of DO. The NPI Number for Trystan Blake is 1275114753 and holds a License No. (New York).

The current practice location address for Trystan Blake is 707 E Main St, Middletown, NY and can be reached out via phone at 845-333-7373.

Location: 707 E Main St, Middletown, NY, 10940-2650
person
Provider Profile Details
NPI Number
1275114753
Provider Name
Trystan Blake
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
707 E Main St, Middletown, NY, 10940-2650
Phone Number
845-333-7373
Fax Number
Provider Enumeration Date
04/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 E Main St
City
State
Zip
10940-2650
Phone Number
845-333-7373
Fax Number
person
Provider Business Mailing Address Details
Address
707 E Main St
City
State
Zip
10940-2650
Phone Number
845-333-7373
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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