Camille Blackwood
NPI #1801357090 in Mount Vernon, New York
Provider Information
- NPI Number
- 1801357090
- Entity Type
- Individual
- Name
- Camille Blackwood
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 29, 2019
- Last Updated
- Mar 29, 2019
Practice Location
- Address
- 55 BONITA VISTA RD
- City
- Mount Vernon
- State
- New York
- ZIP Code
- 10552-1301
- Phone
- (718) 644-2885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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