Individual
CARRIE BLANK-WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 ANNANDALE RD, COMMACK, NY 11725-1746
(631) 398-6582
Mailing address
62 ANNANDALE RD, COMMACK, NY 11725-1746
(631) 398-6582
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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