NPI 1003638511

Denise Holly Blackwell, BACHELORAS

Practitioner Private Vehicle Binghamton, NY

Practice location

Address: 8 Stanley St, Binghamton, NY 13905-2016
Phone: (607) 427-6978

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 630288992 (NY)

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Registry record

NPI: 1003638511
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2024
Record last updated: 26 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.