Individual provider · Type 1 NPI
Blake Palagonia
Specialist · Bellmore, NY
NPI number
1194166223
Active
Practice location
3019 Timothy Rd
Bellmore, NY 11710-5225
Mailing address
PO Box 424
Northport, NY 11768-0424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 732094131 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1194166223
Blake Palagonia's National Provider Identifier is 1194166223, issued on Jul 17, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bellmore, NY. The record was last updated on Jul 17, 2013.