Organization
DB WELLNESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE BLAKE NP (CEO)
(516) 402-0194
Entity
Organization
Contact information
Practice address
230 HILTON AVE STE 4, HEMPSTEAD, NY 11550-8116
(516) 401-0194
(516) 232-9534
Mailing address
230 HILTON AVE STE 4, HEMPSTEAD, NY 11550-8116
(516) 401-0194
(516) 232-9534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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