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

Blake Ottimo

Individual provider Physician Assistant · NPI 1871447896

Blake Ottimo is a Physician Assistant in Central Islip, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

225 Eastview Dr
Central Islip, NY 11722-4539
Phone: (516) 439-3337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 035352 (NY)

Record details

NPI number1871447896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 25, 2026
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address225 Eastview Dr, Central Islip, NY 11722-4539

Other providers in Central Islip