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Contact Information

DANIELLE N BLACKMORE, NP
101 NICOLLS RD
STONY BROOK, NY11794-0001
 Phone: 631-444-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for DANIELLE N BLACKMORE · (Female)

NPI # 1841939105
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/03/2022
Last updated 11/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 350560
  • NY License # 634244
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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