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1366769820
SUSAN V BLACKMORE
PLAINVIEW, NY
NPI
1366769820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 382100)
Enumeration Date
2010-04-23
Last Update Date
2010-04-23
Business Address
-- SUSAN V BLACKMORE CPNP
146 MANETTO HILL RD
PLAINVIEW, NY 11803-1308
Phone number: 516-931-2200
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Mailing Address
-- SUSAN V BLACKMORE CPNP
146 MANETTO HILL RD
PLAINVIEW, NY 11803-1308
Phone number: 516-931-2200
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