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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.