Dwayne Blake, NP Valid NPI

Individual provider · Family Nurse Practitioner · Floral Park, NY

NPI

1194480335

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

348517 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2021-11-02

Last updated

2025-07-01