Blackwood, Camille
Blackwood, Camille is an sole proprietor health care provider with primary practice located at 55 Bonita Vista Rd , Mount Vernon NY 10552-1301. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Blackwood, Camille can be contacted via phone (718) 644-2885.Contact Information
Primary practice address
55 Bonita Vista Rd
Mount Vernon NY 10552-1301
Phone: (718) 644-2885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1801357090 |
|---|---|
| LBN Legal business name | Blackwood, Camille |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2019 |
| Last updated | Mar 29th, 2019 - about 7 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 | 1801357090 | NPPES |
| New York | Other | W246311245 | AETNA |
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