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

MS. Carol Blake, PA, RN, MPH

Individual provider Medical Physician Assistant · NPI 1669600615

MS. Carol Blake, PA, RN, MPH is a Medical Physician Assistant in Bronx, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

111 E 210th St NW7 Medicine
Bronx, NY 10467-2401
Phone: (718) 920-7441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001435-1 (NY)

Record details

NPI number1669600615
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA , RN , MPH
Sole proprietorNo
NPI enumeratedJune 29, 2009
Last updated in NPPESJune 29, 2009

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