BLAKE HOLL

BRONX, NY
NPI1508295486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  017122)
Enumeration Date2013-11-01
Last Update Date2013-11-01
Business Address
-- BLAKE HOLL
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-8440
Mailing Address
-- BLAKE HOLL
111 E 210TH ST
BRONX, NY 10467-2401
Phone number:
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