Individual
MRS. TEHILLA BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
649 39TH ST, BROOKLYN, NY 11232-3101
(718) 851-3300
Mailing address
1157 E 14TH ST, BROOKLYN, NY 11230-4813
(917) 589-5490
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
87340
NY
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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