Blackwood, Stuart L

Blackwood, Stuart L is an individual health care provider with primary practice located at 104 Union Ave Ste 1005 , Syracuse NY 13203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Blackwood, Stuart L can be contacted via phone (315) 424-0790.

Contact Information

Primary practice address
104 Union Ave Ste 1005 Syracuse NY 13203
Phone: (315) 424-0790
Fax: (315) 475-0916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 294864 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 294864 New York

Profile Details

NPI number 1730321761
LBN Legal business name Blackwood, Stuart L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2009
Last updated May 20th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730321761 NPPES
New York MEDICAID 05221650
New York Other 042312909

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