Individual provider · Type 1 NPI

Carol Blake, P.A., R.N., M.P.H

Medical Physician Assistant · Bronx, NY

NPI number 1669600615 Active

Practice location

111 E 210th St, NW7, Medicine
Bronx, NY 10467-2401

Call (718) 920-7441 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X001435-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1669600615

Carol Blake, P.A., R.N., M.P.H's National Provider Identifier is 1669600615, issued on Jun 29, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Jun 29, 2009.