Active NPIIndividual providerSole proprietor

Dr. Julie A Blake, DO

Pediatrics in Mount Vernon, New York

NPI Number1831113521
Practice location
105 Stevens Ave, Suite 406, Mount Vernon, NY 10550
Fax
914-371-7622
Last updated
August 25, 2022

Julie Ann Blake is a Pediatrics based in Mount Vernon, NY. Julie Ann Blake practices in Mount Vernon, NY and has the professional credentials of DO. The NPI Number for Julie Ann Blake is 1831113521 and holds a License No. 222482-1 (NY). The current practice location address for Julie Ann Blake is 105 Stevens Ave, Suite 406, Mount Vernon, NY 10550 and can be reached out via phone at 914-371-7606 and via fax at 914-371-7622.

Provider Profile Details

NPI Number
1831113521
Provider Name
Julie Ann Blake
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
105 Stevens Ave, Suite 406, Mount Vernon, NY 10550
Phone Number
914-371-7606
Fax Number
914-371-7622
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
July 26, 2006
Last Update Date
August 25, 2022
Certification Date
August 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Stevens Ave
Suite 406
Mount Vernon, NY 10550
Zip
10550
Phone Number
914-371-7606
Fax Number
914-371-7622
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
105 Stevens Ave
Suite 406
Mount Vernon, NY 10550
City
Mount Vernon
State
NY
Zip
10550
Phone Number
914-371-7606
Fax Number
914-371-7622

License Information

License Number
222482-1
License State
NY
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Julie A Blake, DO?

The NPI number of Dr. Julie A Blake, DO is 1831113521. It was assigned on July 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Julie A Blake, DO?

Dr. Julie A Blake, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NY under license number 222482-1.

Where does Dr. Julie A Blake, DO practice?

The practice location is 105 Stevens Ave, Suite 406, Mount Vernon, NY 10550. The office can be reached at 914-371-7606 (phone) or 914-371-7622 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831113521 directly on the NPPES registry website.

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