Individual
KWESI W BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
309840
NY
208M00000X
Hospitalist Physician
Primary
309840
NY
Other
Enumeration date
03/23/2019
Last updated
09/23/2025
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