PETER JOEL BLACKBURNE

VALLEY STREAM, NY
NPI1801371786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY  535252)
Enumeration Date2018-09-26
Last Update Date2018-10-10
Business Address
PETER JOEL BLACKBURNE RN
3 JEFFERSON AVE
VALLEY STREAM, NY 11580-2925
Phone number: 718-775-1200
Mailing Address
PETER JOEL BLACKBURNE RN
3 JEFFERSON AVE
VALLEY STREAM, NY 11580-2925
Phone number: 718-775-1200
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