Individual
DR. NOEL EDWIN BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
83 LAW ST, VALLEY STREAM, NY 11580
(718) 528-6277
(516) 285-4949
Mailing address
83 LAW ST, VALLEY STREAM, NY 11580
(516) 263-8123
(516) 285-4949
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
141896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825810
—
NY
Enumeration date
05/01/2007
Last updated
01/17/2014
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