Blackmore, Susan V

Blackmore, Susan V is an individual health care provider with primary practice located at 146 Manetto Hill Rd , Plainview NY 11803-1308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Blackmore, Susan V can be contacted via phone (516) 931-2200.

Contact Information

Primary practice address
146 Manetto Hill Rd Plainview NY 11803-1308
Phone: (516) 931-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382100 New York

Profile Details

NPI number 1366769820
LBN Legal business name Blackmore, Susan V
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2010
Last updated Apr 23rd, 2010 - about 15 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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