SearchNew York235Z00000X

Raven-Dion Blake

NPI 1124737473 · on the registry since 2022 · sole proprietor

Practice

Address
2697 Westchester Ave
Bronx, NY 10461
Phone
(718) 597-6404
Clinicians at this address
7

Additional practice sites

  • 5 Topaz Ct, New City, NY

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-26

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