Individual
DR. ROBERT GARFIELD BLACKSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 772-4740
Mailing address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 772-4740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
217390-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
217390-1
NY
Other
Enumeration date
10/20/2005
Last updated
08/15/2024
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