Individual
DENIQUE S BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
1365 STEWART CT, NORTH BALDWIN, NY 11510-1028
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310392
NY
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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