Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tracey Monique Blake-Dixon, PA-C

Individual provider Physician Assistant · NPI 1568590669

Mrs. Tracey Monique Blake-Dixon, PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

264 W 118th St
New York, NY 10026-1620
Phone: (914) 420-9168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005757-1 (NY)

Record details

NPI number1568590669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 1, 2007
Last updated in NPPESMarch 16, 2015

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