Blake Holl
Blake Holl is a Medical Physician Assistant in Bronx, New York. Licensed in New York. Registered with an NPI since 2013.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
111 E 210th StBronx, NY 10467-2401
Phone: (718) 920-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 017122 (NY) |
|---|
Record details
| NPI number | 1508295486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 1, 2013 |
| Last updated in NPPES | November 1, 2013 |
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