Blake, Deidre

Blake, Deidre is an individual health care provider with primary practice located at 16 Brentwood Dr Suite A, Ithaca NY 14850-1863. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as her primary health care specialty. Blake, Deidre can be contacted via phone (607) 272-7000.

Contact Information

Primary practice address
16 Brentwood Dr Suite A Ithaca NY 14850-1863
Phone: (607) 272-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 256896 New York

Profile Details

NPI number 1336157015
LBN Legal business name Blake, Deidre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Sep 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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