Individual
MRS. SARIT BLACKSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175-61 HILLSIDE AVENUE, SUITE 404, JAMAICA, NY 11432
(718) 526-6226
Mailing address
1078 FORDHAM LN, WOODMERE, NY 11598-1016
(516) 456-0765
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019338-1
NY
Other
Enumeration date
03/14/2016
Last updated
08/25/2016
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