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1851393771
JULIE BLACK
BROOKLYN, NY
NPI
1851393771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 007923)
Enumeration Date
2005-08-11
Last Update Date
2007-07-08
Business Address
Ms. JULIE BLACK PA-C
255 EASTERN PKWY
BROOKLYN, NY 11238-6370
Phone number: 718-636-8291
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Mailing Address
Ms. JULIE BLACK PA-C
1480 PLEASANT VALLEY WAY # 12
WEST ORANGE, NJ 07052-1300
Phone number: 973-687-6810
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