Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Joseph Blake Wall, MD

Individual provider Pediatrics Physician · NPI 1851977672

Dr. Joseph Blake Wall, MD is a Pediatrics Physician in New York, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3959 Broadway
New York, NY 10032-1559
Phone: (212) 305-8504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 321287 (NY)

Record details

NPI number1851977672
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

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