Individual provider · Type 1 NPI
Blake Holl
Medical Physician Assistant · Bronx, NY
NPI number
1508295486
Active
Practice location
111 E 210th St
Bronx, NY 10467-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 017122 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1508295486
Blake Holl's National Provider Identifier is 1508295486, issued on Nov 1, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Nov 1, 2013.