Angela Blake
Specialist in New Windsor, NY. Individual provider (NPI-1).
NPI number1740644467
StatusActive
Last updated in NPPESApr 8, 2016
Details
- NPI
- 1740644467
- Entity type
- Individual (NPI-1)
- Name
- Angela Blake
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2016
- Last updated
- Apr 8, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
930 Raz AveNew Windsor, NY 12553-4705
Phone 845-564-1855
Mailing address
930 Raz AveNew Windsor, NY 12553-4705
Phone 845-564-1855
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Specialist providers in New Windsor · All 770 providers in New Windsor
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