Individual provider · Type 1 NPI

Loni Blackwood

Specialist · Fresh Meadows, NY

NPI number 1447015136 Active

Practice location

6143 186th St
Fresh Meadows, NY 11365-2710

Call (929) 200-7105 Map

Mailing address

1524 Mattison St
North Baldwin, NY 11510-2022

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

101 other providers at this address

Other specialist providers in Fresh Meadows

See all in Fresh Meadows →

About NPI 1447015136

Loni Blackwood's National Provider Identifier is 1447015136, issued on Feb 21, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Feb 29, 2024.