Individual
DR. EMILY JANE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23B GRAND AVE, NYACK, NY 10960-1615
(917) 405-0696
Mailing address
23B GRAND AVE, NYACK, NY 10960-1615
(917) 405-0696
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
184696
NY
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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