Individual
BEVERLY BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W 32ND ST FL 8, NEW YORK, NY 10001-3212
(866) 551-9700
Mailing address
14 E 96TH ST APT 19, BROOKLYN, NY 11212-3723
(646) 867-9894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
731810
NY
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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