Individual
KARENE ORTENSA BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1584 KENNETH AVE, NORTH BALDWIN, NY 11510-1659
(646) 478-6900
Mailing address
1584 KENNETH AVE, NORTH BALDWIN, NY 11510-1659
(646) 478-6900
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
572305
NY
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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