Most Relevant Information
Provider Data
| NPI Number: | 1003638511 |
| Provider Name: | DENISE HOLLY BLACKWELL BACHELOR AS |
| Entity Type: | Individual |
| Taxonomy Code: | 347C00000X |
| Specialty: | Private Vehicle |
| License Number: | 630288992 |
Most Important Dates
| Enumeration Date: | 10/26/2024 |
| Last Updated: | 10/26/2024 |
Provider Practice Location
8 STANLEY ST
BINGHAMTON
NY
139052016
Practice Location Phone/Fax
| Phone: | 6074276978 |
| Fax: |
Provider Mailing Location
8 STANLEY ST
BINGHAMTON
NY
139052016
Provider Mailing Phone/Fax
| Phone: | 6074276978 |
| Fax: |