Individual
ANN BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
328 E 62ND ST, NEW YORK, NY 10065-8206
(212) 752-7575
Mailing address
328 E 62ND ST, NEW YORK, NY 10065-8206
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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