Individual
MISS DENISE HOLLY BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR AS
Contact information
Practice address
8 STANLEY ST, BINGHAMTON, NY 13905-2016
(607) 427-6978
Mailing address
8 STANLEY ST, BINGHAMTON, NY 13905-2016
(607) 427-6978
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
630288992
NY
Other
Enumeration date
10/26/2024
Last updated
10/26/2024
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