Organization
BUTTERFLIES BY BLAQ INC.
Active
Organization
BUTTERFLIES BY BLAQ INC.
Active
Other names
Butterflies BBI
Organization subpart
No
Provider details
NPI number
Authorized official
ERNA BLACKMAN (FOUNDER)
(718) 978-2527
Entity
Organization
Contact information
Practice address
11569 FARMERS BLVD, SAINT ALBANS, NY 11412-3022
(718) 978-2527
(718) 978-2528
Mailing address
11569 FARMERS BLVD, SAINT ALBANS, NY 11412-3022
(718) 978-2527
(718) 978-2528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
208000000X
Pediatrics Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
11/30/2022
Last updated
12/01/2022
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