Blake, Julie Ann

Blake, Julie Ann is an sole proprietor health care provider with primary practice located at 105 Stevens Ave Suite 406, Mount Vernon NY 10550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Blake, Julie Ann can be contacted via phone (914) 371-7606.

Contact Information

Primary practice address
105 Stevens Ave Suite 406 Mount Vernon NY 10550
Phone: (914) 371-7606
Fax: (914) 371-7622
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 222482-1 New York

Profile Details

NPI number 1831113521
LBN Legal business name Blake, Julie Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Aug 25th, 2022 - about 2 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 1831113521 NPPES
New York MEDICAID 02290559

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