Blackstock, Daryle Marc
Blackstock, Daryle Marc is an sole proprietor health care provider with primary practice located at 622 W 168Th St Ph 14, Rm 104, New York NY 10032-3720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blackstock, Daryle Marc can be contacted via phone (212) 305-7771.Contact Information
Primary practice address
622 W 168Th St Ph 14, Rm 104
New York NY 10032-3720
Phone: (212) 305-7771
Fax: (212) 342-5307
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 006279-1 | New York |
Profile Details
NPI number | 1295820298 |
---|---|
LBN Legal business name | Blackstock, Daryle Marc |
Credentials | PHYSICIAN ASSISTANT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2006 |
Last updated | Jul 15th, 2015 - about 9 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.
Popular Providers
-
Sanchez, Raymond
253 3Rd Ave , New York NY 10010-7401 -
Shah, Chetna
100Th St And Madison Ave , New York NY 10029 -
Sellman, Robert
100Th Street And Madison Ave , New York NY 10029 -
Raymond, Theresa Lee
5 Harrison St Kahn Dermatology, New York NY 10013 -
Winick, Denise L
1155 Park Ave Ste 316, New York NY 10128-1209 -
Fisher, Jonathan
85 Broad Street, Lobby Level , New York NY 10004 -
Noah, Susan
266 W 145Th St , New York NY 10039-4104 -
Thomas-Ellis, Yolande
1976 2Nd Ave , New York NY 10029-6314