Individual
CHERISE BLACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 W 147TH ST APT 15H, NEW YORK, NY 10039-4338
(347) 840-4157
Mailing address
129 W 147TH ST APT 15H, NEW YORK, NY 10039-4338
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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