Individual provider · Type 1 NPI

Blake Ottimo

Physician Assistant · Central Islip, NY

NPI number 1871447896 Active

Practice location

225 Eastview Dr
Central Islip, NY 11722-4539

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X035352 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1871447896

Blake Ottimo's National Provider Identifier is 1871447896, issued on Feb 25, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Central Islip, NY. The record was last updated on Feb 25, 2026.