Mr. Dwayne Blake
NP | Nurse Practitioner - Psych/Mental Health | 4+ years Exp
31 Covert Ave # 1030, Floral Park
New York, 11001-3216
516-402-0194
Mr. Dwayne Blake is a Floral Park, New York based nurse practitioner with 4 years of experience in Psych/Mental Health. He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Dwayne Blake is 348517 for Family in New York. His current practice location is 31 Covert Ave # 1030, Floral Park. Patients can reach him at 516-402-0194 or can fax him at 516-232-9534. Mr. Dwayne Blake is NP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1194480335.
Mr. Dwayne Blake provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Dwayne Blake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Dwayne Blake |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | NP |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 31 Covert Ave # 1030, Floral Park,
New York, 11001-3216 |
| Phone: | 516-402-0194 |
| Fax: | 516-232-9534 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0648665398 |
| Enrollment ID: | I20220316003497 |
| NPI Number: | 1194480335 |
| NPI Enumeration Date: | 02 Nov, 2021 |
| NPI Last Update On: | 01 Jul, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Dwayne Blake are as mentioned below.
| License Number | Specialization | State | Status | |
| 348517 | Family | New York | Primary | |
| 407104 | Psych/Mental Health | New York | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Dwayne Blake is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| George Safran Md Pc (2567642044) | 106 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Dwayne Blake
31 Covert Ave # 1030,
Floral Park, New York |
| Zip: | 11001-3216 |
| Phone Number: | 516-402-0194 |
| Fax Number: | 518-933-2531 |
Patients can reach Mr. Dwayne Blake at
31 Covert Ave # 1030, Floral Park, New York or can
call to book an appointment on 516-402-0194.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.