Blackburne, Peter Joel

Blackburne, Peter Joel is an sole proprietor health care provider with primary practice located at 3 Jefferson Ave , Valley Stream NY 11580-2925. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Blackburne, Peter Joel can be contacted via phone (718) 775-1200.

Contact Information

Primary practice address
3 Jefferson Ave Valley Stream NY 11580-2925
Phone: (718) 775-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 535252 New York

Profile Details

NPI number 1801371786
LBN Legal business name Blackburne, Peter Joel
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2018
Last updated Oct 10th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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