NPI 1841358140

Debra Ellen Blaine, MD

Practitioner General Practice Physician East Northport, NY

Practice location

Address: 558 Larkfield Rd, East Northport, NY 11731-4204
Phone: (631) 486-7459
Mailing address: 46 Northgate Cres, Melville, NY 11747-3028

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 179846 (NY)

Other General Practice providers in New York →

Registry record

NPI: 1841358140
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2006
Record last updated: 24 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.