WOLLETA BLACKWOOD

Registered Nurse

Active Individual
NPI: 1356196752

Practice Address

1944 JACKSON AVE
Elmont, NY 11003

Phone: (516) 424-0169

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 610154 (NY)

Frequently Asked Questions

NPI 1356196752 is the National Provider Identifier for WOLLETA BLACKWOOD, a Registered Nurse provider located in Elmont, NY. This NPI was enumerated on April 19, 2024.
WOLLETA BLACKWOOD practices at 1944 JACKSON AVE, Elmont, NY 11003.

Quick Facts

NPI
1356196752
Type
Individual
Enumerated
Apr 19, 2024
Last Updated
Apr 21, 2024

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