Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER JOEL BLACKBURNE, RN
Active Sole ProprietorPETER JOEL BLACKBURNE, RN is a Child & Adolescent Psychiatric Nurse healthcare provider located in VALLEY STREAM, New York. NPI 1801371786 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · VALLEY STREAM, NY
Registration Details
- NPI Number
- 1801371786
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2018 (7.9275476454296 yrs)
- Last Updated
- Oct 10, 2018
- License
-
535252 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3 JEFFERSON AVEVALLEY STREAM, NY, 115802925Browse NY providers · Browse ZIP 11580
- Phone
- 7187751200
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.