IndividualActive
Deidre Blake, M.D.
NPI 1336157015 · Adult Reconstructive Orthopaedic Surgery Physician · Ithaca, NY
Provider details
- NPI number
- 1336157015
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 256896 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
16 Brentwood Dr
Suite a
Ithaca, NY 14850-1863
Phone: (607) 272-7000
Approximate (ZIP-level) locationGet directions
Mailing address
16 Brentwood Dr
Ithaca, NY 14850-1863
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2016-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.