MS. TERREL AMANDA BLACKETT
Medical Practice at 86 St, Brooklyn, NY

License number
New York 1261539
Category
Medical Practice
Type
Case Manager/Care Coordinator
Address
Address
1086 E 86Th St, Brooklyn, NY 11236
Phone
(718) 427-1079
(718) 455-5137 (Fax)
National Provider ID: 1336493923
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Terrel A Blackett, age 45
1086 86Th St, Brooklyn, NY 11236
(718) 968-4655
Terrel A Blackett, age 45
1086 86Th St, Brooklyn, NY 11236
(718) 531-5596
(718) 968-4655

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