person
Ms. Julie Black, PA-C
Medical Physician Assistant in Brooklyn, New York
NPI 1851393771

Julie Black is a Medical Physician Assistant based in West Orange, NY and is specialized in Medical. Julie Black practices in Brooklyn, NY and has the professional credentials of PA-C. The NPI Number for Julie Black is 1851393771 and holds a License No. 007923 (New York).

The current practice location address for Julie Black is 255 Eastern Pkwy, Brooklyn, NY and can be reached out via phone at 718-636-8291 and via fax at 718-398-3168.

Location: 255 Eastern Pkwy, Brooklyn, NY, 07052-1300
person
Provider Profile Details
NPI Number
1851393771
Provider Name
Julie Black
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
255 Eastern Pkwy, Brooklyn, NY, 07052-1300
Phone Number
718-636-8291
Fax Number
718-398-3168
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007923 01 NY STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
255 Eastern Pkwy
City
State
Zip
11238-6370
Phone Number
718-636-8291
Fax Number
718-398-3168
person
Provider Business Mailing Address Details
Address
255 Eastern Pkwy
City
State
Zip
11238-6370
Phone Number
718-636-8291
Fax Number
718-398-3168
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
007923 (New York)
Definition
Definition to come...
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