DAKOTA BLAKE WOOD

NEW YORK, NY
NPI1659927929
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  023849)
Enumeration Date2019-08-13
Last Update Date2022-09-27
Business Address
Mr. DAKOTA BLAKE WOOD PA-C
550 1ST AVE
NEW YORK, NY 10016-6402
Phone number: 434-282-6227
Mailing Address
Mr. DAKOTA BLAKE WOOD PA-C
13523 82ND AVE APT 4C
JAMAICA, NY 11435-1346
Phone number: 434-282-6227