Black, Julie

Black, Julie is an individual health care provider with primary practice located at 255 Eastern Pkwy , Brooklyn NY 11238-6370. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Black, Julie can be contacted via phone (718) 636-8291.

Contact Information

Primary practice address
255 Eastern Pkwy Brooklyn NY 11238-6370
Phone: (718) 636-8291
Fax: (718) 398-3168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 007923 New York

Profile Details

NPI number 1851393771
LBN Legal business name Black, Julie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851393771 NPPES
New York Other 007923 STATE LICENSE NUMBER

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