Individual provider · Type 1 NPI
Dwayne Blake, NP
Family Nurse Practitioner · Floral Park, NY
NPI number
1194480335
Active
Practice location
31 Covert Ave # 1030
Floral Park, NY 11001-3216
Fax (516) 232-9534
Other practice locations
- 317 Maple Ave, Uniondale, NY 11553-1621 · (516) 402-0194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 407104 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 348517 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194480335
Dwayne Blake, NP's National Provider Identifier is 1194480335, issued on Nov 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Floral Park, NY. The record was last updated on Jul 1, 2025.