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Thelma Blackman

NPI 1134682412 · on the registry since 2019

Practice

Address
10742 111th St
South Richmond Hill, NY 11419
Phone
(718) 828-2666

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York