Individual
JAMEL BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2233 NOSTRAND AVE STE 2, BROOKLYN, NY 11210-3029
(718) 859-9760
(718) 859-9767
Mailing address
2233 NOSTRAND AVE STE 2, BROOKLYN, NY 11210-3029
(718) 859-9760
(718) 859-9767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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