Individual
MS. KIM NATALIE BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(171) 877-1149
Mailing address
14927 117TH ST, SOUTH OZONE PARK, NY 11420-3906
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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