Blackmon, Myron

Blackmon, Myron is an individual health care provider with primary practice located at 329 N Salina St , Syracuse NY 13203-1755. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Blackmon, Myron can be contacted via phone (315) 471-1564.

Contact Information

Primary practice address
329 N Salina St Syracuse NY 13203-1755
Phone: (315) 471-1564
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 24380 New York

Profile Details

NPI number 1083464507
LBN Legal business name Blackmon, Myron
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2024
Last updated Mar 26th, 2024 - about 2 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.

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