Individual provider · Type 1 NPI

Susan V. Blackmore, CPNP

Pediatric Nurse Practitioner · Plainview, NY

NPI number 1366769820 Active

Practice location

146 Manetto Hill Rd
Plainview, NY 11803-1308

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X382100 (NY)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1366769820

Susan V. Blackmore, CPNP's National Provider Identifier is 1366769820, issued on Apr 23, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Plainview, NY. The record was last updated on Apr 23, 2010.