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

Jennifer M Drake

Individual provider Specialist · NPI 1407194467

Jennifer M Drake is a Specialist in Coram, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

1608 Avalon Pines Dr
Coram, NY 11727-5141
Phone: (631) 807-8287
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 814364 (NY)

Record details

NPI number1407194467
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2013
Last updated in NPPESJanuary 27, 2013

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