Individual
BLAKE OTTIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 EASTVIEW DR, CENTRAL ISLIP, NY 11722-4539
(516) 439-3337
Mailing address
225 EASTVIEW DR, CENTRAL ISLIP, NY 11722-4539
(516) 439-3337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
035352
NY
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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