Provider Demographics
NPI:1336146505
Name:BLOCK, JULIA DLHOPOLSKY (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:DLHOPOLSKY
Last Name:BLOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:ANN
Other - Last Name:DLHOPOLSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:314 PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGHTWATERS
Mailing Address - State:NY
Mailing Address - Zip Code:11718-1410
Mailing Address - Country:US
Mailing Address - Phone:631-666-6515
Mailing Address - Fax:631-666-6515
Practice Address - Street 1:314 PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:BRIGHTWATERS
Practice Address - State:NY
Practice Address - Zip Code:11718-1410
Practice Address - Country:US
Practice Address - Phone:631-666-6515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133687208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB7934842OtherDEA