Blackman, Amanda
Blackman, Amanda is an individual health care provider with primary practice located at 10 N Main St , Cortland NY 13045-2130. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Blackman, Amanda can be contacted via phone (607) 753-0234.Contact Information
Primary practice address
10 N Main St
Cortland NY 13045-2130
Phone: (607) 753-0234
Fax: (607) 753-0286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1316196595 |
|---|---|
| LBN Legal business name | Blackman, Amanda |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2008 |
| Last updated | Sep 12th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316196595 | NPPES |
| New York | MEDICAID | 01079267 |
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