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Contact Information

SARDIA BLAKE, PCT
55 SHERIDAN AVE
MOUNT VERNON, NY10552-2541
 Phone: 914-704-7505
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
Indicates primary specialty

NPI Profile & details for SARDIA BLAKE · (Female)

NPI # 1740913631
Status Active
Credentials PCT
Entity Individual
Enumeration date 07/07/2022
Last updated 07/07/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # X3Z3C7D4
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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