Individual provider · Type 1 NPI

Julie Black, PA-C

Medical Physician Assistant · Brooklyn, NY

NPI number 1851393771 Active

Practice location

255 Eastern Pkwy
Brooklyn, NY 11238-6370

Fax (718) 398-3168

Mailing address

1480 Pleasant Valley Way, # 12
West Orange, NJ 07052-1300

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X007923 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1851393771

Julie Black, PA-C's National Provider Identifier is 1851393771, issued on Aug 11, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 13, 2026.