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

TaxonomyCodeLicense
Specialist Primary 174400000X732094131 (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.