Individual
ROBERT GARY BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 ROEBLING ST, BROOKLYN, NY 11211-6204
(718) 218-6414
(718) 240-0411
Mailing address
591 HANCOCK ST, BROOKLYN, NY 11233-6584
(917) 279-3308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
213092-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01957804
—
NY
Enumeration date
07/17/2006
Last updated
08/08/2025
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