Susan V Blackmore, CPNP

NPI #1366769820 in Plainview, New York

Provider Information

NPI Number
1366769820
Entity Type
Individual
Name
Susan V Blackmore, CPNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
CPNP
Enumeration Date
Apr 23, 2010
Last Updated
Apr 23, 2010

Practice Location

Address
146 MANETTO HILL RD
ZIP Code
11803-1308
Phone
(516) 931-2200

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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