MR. Dwayne Blake, NP
NPI #1194480335 in Floral Park, New York
Provider Information
- NPI Number
- 1194480335
- Entity Type
- Individual
- Name
- MR. Dwayne Blake, NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Nov 2, 2021
- Last Updated
- Jul 1, 2025
Practice Location
- Address
- 31 COVERT AVE # 1030
- City
- Floral Park
- State
- New York
- ZIP Code
- 11001-3216
- Phone
- (516) 402-0194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Family — Family |
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