Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEIDRE BLAKE, M.D.
ActiveDR. DEIDRE BLAKE, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in ITHACA, New York. NPI 1336157015 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · ITHACA, NY
Registration Details
- NPI Number
- 1336157015
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2006 (20.074355001709 yrs)
- Last Updated
- Sep 13, 2016
- License
-
256896 (NY)
Practice Information
- Address
-
16 BRENTWOOD DRSUITE AITHACA, NY, 148501863Browse NY providers · Browse ZIP 14850
- Phone
- 6072727000
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.