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Wayne Blackman
NPI 1497812309 · on the registry since 2007
Practice
- Address
- 108-19 Rockaway Blvd
Ozone Park, NY 11420 - Phone
- (718) 845-2620
- Fax
- (718) 845-9380
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-28
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