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Camille Blackwood
Specialist in Mount Vernon, New York
NPI 1801357090

Camille Blackwood is a Specialist based in Mount Vernon, NY. Camille Blackwood practices in Mount Vernon, NY. The NPI Number for Camille Blackwood is 1801357090 and holds a License No. (New York).

The current practice location address for Camille Blackwood is 55 Bonita Vista Rd, Mount Vernon, NY and can be reached out via phone at 718-644-2885.

Location: 55 Bonita Vista Rd, Mount Vernon, NY, 10552-1301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801357090
Provider Name
Camille Blackwood
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Bonita Vista Rd, Mount Vernon, NY, 10552-1301
Phone Number
718-644-2885
Fax Number
Provider Enumeration Date
03/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W246311245 01 NY AETNA
institution
Provider Business Practice Location Address Details
Address
55 Bonita Vista Rd
City
Mount Vernon
State
New York
Zip
10552-1301
Phone Number
718-644-2885
Fax Number
person
Provider Business Mailing Address Details
Address
55 Bonita Vista Rd
City
Mount Vernon
State
New York
Zip
10552-1301
Phone Number
718-644-2885
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
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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