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:
Health care specialties
| Specialty | Code | License # | 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 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851393771 | NPPES |
| New York | Other | 007923 | STATE LICENSE NUMBER |
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