Individual
SHELLY BLACKMAN-CORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13021 225TH ST, LAURELTON, NY 11413-1228
(718) 826-4976
(718) 270-4330
Mailing address
13021 225TH ST, LAURELTON, NY 11413-1228
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
520683-1
NY
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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