IndividualActive
Sardia Blake, PCT
NPI 1740913631 · Attendant Care Provider · Mount Vernon, NY
Provider details
- NPI number
- 1740913631
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Credential
- PCT
- Sex
- Female
- Sole proprietor
- Yes
- License
- X3Z3C7D4 (NY)
Mailing address
630 Gramatan Ave Apt Grm2
Mount Vernon, NY 10552-1830
Registry dates
- Enumerated
- 2022-07-07
- Last updated
- 2022-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.