Blake, Diane M

Blake, Diane M is an sole proprietor health care provider with primary practice located at 1 Comus Rd , Rocky Point NY 11778-9541. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Blake, Diane M can be contacted via phone (631) 821-3746.

Contact Information

Primary practice address
1 Comus Rd Rocky Point NY 11778-9541
Phone: (631) 821-3746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1144581976
LBN Legal business name Blake, Diane M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2012
Last updated Jun 7th, 2012 - about 13 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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