Blake, Pamela A
Blake, Pamela A is an sole proprietor health care provider with primary practice located at 451 Montauk Hwy , East Moriches NY 11940-1357. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blake, Pamela A can be contacted via phone (631) 255-5481.Contact Information
Primary practice address
451 Montauk Hwy
East Moriches NY 11940-1357
Phone: (631) 255-5481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 018090 | New York |
Profile Details
| NPI number | 1215252630 |
|---|---|
| LBN Legal business name | Blake, Pamela A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2010 |
| Last updated | Mar 31st, 2010 - about 16 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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