Individual provider · Type 1 NPI
Marilyn Donette Blackman, REGISTERED NURSE
Medical-Surgical Registered Nurse · Rosedale, NY
NPI number
1750791612
Active
Practice location
1 Cross Island Plz Ste 210
Rosedale, NY 11422-1456
Mailing address
537 Powell St Ph
Brooklyn, NY 11212-7110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 22 683025 (NY) |
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 22. 683025 (NY) |
Medical-Surgical Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1750791612
Marilyn Donette Blackman, REGISTERED NURSE's National Provider Identifier is 1750791612, issued on Apr 30, 2014. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Rosedale, NY. The record was last updated on Aug 4, 2026.