Delores D Blackwell (NPI# 1366536641, PAC ID# 6204837362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1366536641 |
| PAC ID by PECOS | 6204837362 |
| Professional Enrollment ID | I20070117000038 |
| Full Name | Delores D Blackwell |
| Organization Legal Name | PROJECT HOSPITALITY INC |
| Address |
14 Slosson Ter Staten Island NY 10301-2507 |
| Phone Number | 7182738409 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3577884097 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14 Slosson Ter, Staten Island, NY 10301-2507 | 7182738409 | PROJECT HOSPITALITY INC |
| Organization Legal Name | PROJECT HOSPITALITY INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emmanuel Ahipue | Nurse Practitioner | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Claire W Attia | Psychiatry | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Laura L. Novacek | Clinical Social Worker | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Muftau G Bello | Nurse Practitioner | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Lee M Turner | Clinical Social Worker | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Gale A Alwill | Clinical Social Worker | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Street Address |
14 SLOSSON TER |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10301-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emmanuel Ahipue | Nurse Practitioner | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Claire W Attia | Psychiatry | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Laura L. Novacek | Clinical Social Worker | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Muftau G Bello | Nurse Practitioner | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Lee M Turner | Clinical Social Worker | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Gale A Alwill | Clinical Social Worker | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Ann Thompson | Clinical Social Worker | 120 Stuyvesant Pl, Suite 4, Staten Island, NY 10301-1992 | |
| Joann Leather | Clinical Social Worker | Staten Island Mental Health Society, Inc. | 669 Castleton Ave, Staten Island, NY 10301-2028 |
| James Reilly | Obstetrics/gynecology | 668 Castleton Ave, Staten Island, NY 10301-2044 | |
| Ulrika Holm | Obstetrics/gynecology | 539 Castleton Ave, Staten Island, NY 10301-2060 | |
| George Antoun | Physical Therapy | 110 Henderson Ave, Suite 720, Staten Island, NY 10301-2108 | |
| Susana Lourido | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Shevi Koschitzki | Physician Assistant | Synergy Health Medical Solutions PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Lucas S Ralston | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Salim Hussain | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Yasmin Nunez | Physician Assistant | Synergy Health Medical Solutions PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Find all physicians in zip 10301 | |||
| City | STATEN ISLAND |
| Zip Code | 10301 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | STATEN ISLAND + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Delores D Blackwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.