Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cm Blaine MD PLLC

Organization Dermatology Physician · NPI 1396514618

Cm Blaine MD PLLC is a Dermatology Physician in East Patchogue, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

250 Patchogue Yaphank Rd Ste 7
East Patchogue, NY 11772-4862
Phone: (631) 714-4402
Fax: (631) 714-4095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1396514618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jiyon Kim — Physician Assistant · (631) 714-4402
NPI enumeratedDecember 28, 2023
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023
Mailing address250 Patchogue Yaphank Rd Ste 7, East Patchogue, NY 11772-4862

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