Yale-trained with a Master of Science in Nursing from Yale University (2010) and a Doctor of Nursing Practice from Northeastern University, Jay Blake, DNP handles dermatologic consults and ongoing therapy at MedDerm Associates in Suite 200 at 3965 Fifth Avenue. Blake manages acne, atopic dermatitis, psoriasis flares, rosacea, suspicious mole monitoring, and lesion biopsy, supported by the MedDerm phototherapy center where Dr. Michelle T. Pelle, MD runs the autoimmune and medical dermatology program for complex escalations. The clinic operates a comprehensive phototherapy program with narrowband UVB and excimer laser for psoriasis, vitiligo, eczema, and actinic keratosis, allowing Blake to schedule twice-weekly light sessions for patients whose topical regimens have failed. He performs cryotherapy for benign and pre-cancerous lesions, shave and punch biopsies for suspected skin cancers, and chemical peels for acne scarring and dyspigmentation. Mohs referral cases for confirmed basal or squamous cell carcinoma on the face route from his Fifth Avenue exam rooms to Dr. Shang I B. Jiang, MD for same-day layered excision and reconstruction. The signature multi-visit workflow is narrowband UVB phototherapy for generalized plaque psoriasis, with Blake titrating joules per session against minimal erythema dose testing until clearance or maintenance dosing stabilizes the patient.