Individual provider · Type 1 NPI

Shernice Jenell Blackman

Specialist · Syosset, NY

NPI number 1720340607 Active

Practice location

2 Roosevelt Ave, Suite 300
Syosset, NY 11791-3064

Call (516) 496-4460 Map

Mailing address

11321 200th St
St. Albans, NY 11412-2526

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.

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About NPI 1720340607

Shernice Jenell Blackman's National Provider Identifier is 1720340607, issued on Jun 15, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Syosset, NY. The record was last updated on Jun 15, 2012.