DARYLE MARC BLACKSTOCK

NEW YORK, NY
NPI1295820298
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  006279-1)
Enumeration Date2006-10-04
Last Update Date2015-07-15
Business Address
Mr. DARYLE MARC BLACKSTOCK Physician Assistant
622 W 168TH ST PH 14, RM 104
NEW YORK, NY 10032-3720
Phone number: 212-305-7771
Mailing Address
Mr. DARYLE MARC BLACKSTOCK Physician Assistant
622 W 168TH ST PH 14, RM 104
NEW YORK, NY 10032-3720
Phone number: 212-305-7771
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