KENISHA R BLAKE

NEW YORK, NY
NPI1376032599
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F306760-1)
Enumeration Date2018-05-02
Last Update Date2018-05-02
Business Address
Mrs. KENISHA R BLAKE NP
5 E 98TH ST FL 7
NEW YORK, NY 10029-6501
Phone number: 917-701-2064
Mailing Address
Mrs. KENISHA R BLAKE NP
4075 SETON AVE
BRONX, NY 10466-2332
Phone number: 917-701-2064
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