Healthcare Provider Details

I. General information

NPI: 1063377687
Provider Name (Legal Business Name): MARSHA JAMES-BLAIR M. ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 COURT ST STE 1217
BROOKLYN NY
11201-4410
US

IV. Provider business mailing address

13027 220TH ST
LAURELTON NY
11413-1224
US

V. Phone/Fax

Practice location:
  • Phone: 347-970-2188
  • Fax:
Mailing address:
  • Phone: 516-460-3877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number2657531
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: