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Emily Blake

NPI 1669325221 · on the registry since 2026 · sole proprietor

Practice

Address
57 Norwood Ave
Port Jefferson Station, NY 11776
Phone
(754) 265-3753

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York