Individual
AUTUMN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD STE 201, MELVILLE, NY 11747-4833
(888) 722-2072
Mailing address
178 WASHINGTON ST, NEWBURGH, NY 12550-6242
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
755372
NY
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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