Individual provider · Type 1 NPI

Elisha Blain

Student in an Organized Health Care Education/Training Program · Middletown, NY

NPI number 1255266565 Active

Practice location

118 Rolling Meadows Rd
Middletown, NY 10940-2611

Call (516) 717-9323 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X632068 (NY)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1255266565

Elisha Blain's National Provider Identifier is 1255266565, issued on Jun 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Middletown, NY. The record was last updated on Jun 17, 2026.