Blackman, Noel Edwin
Blackman, Noel Edwin is an individual health care provider with primary practice located at 83 Law St , Valley Stream NY 11580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Blackman, Noel Edwin can be contacted via phone (718) 528-6277.Contact Information
Primary practice address
83 Law St
Valley Stream NY 11580
Phone: (718) 528-6277
Fax: (516) 285-4949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 141896 | New York |
Profile Details
| NPI number | 1720209521 |
|---|---|
| LBN Legal business name | Blackman, Noel Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jan 17th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720209521 | NPPES |
| New York | MEDICAID | 00825810 |
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