Blake, Joseph

Blake, Joseph is an sole proprietor health care provider with primary practice located at 273 Heberton Ave , Staten Island NY 10302-1809. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Blake, Joseph can be contacted via phone (718) 816-6589.

Contact Information

Primary practice address
273 Heberton Ave Staten Island NY 10302-1809
Phone: (718) 816-6589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6589 New York

Profile Details

NPI number 1952671844
LBN Legal business name Blake, Joseph
Credentials CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2012
Last updated Jan 9th, 2012 - about 12 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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