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Kristal Blake
NPI 1497123970 · on the registry since 2015 · sole proprietor
Practice
- Address
- 20517 115th Ave
Saint Albans, NY 11412 - Phone
- (917) 273-3231
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-14
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