Keith Blackburn (NPI# 1205379369, PAC ID# 8426314261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1205379369 |
PAC ID by PECOS | 8426314261 |
Professional Enrollment ID | I20180322000487 |
Full Name | Keith Blackburn |
Address |
2579 E 17th St Suite 28 Brooklyn NY 11235-3515 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
2579 E 17th St, Suite 28, Brooklyn, NY 11235-3515 |
Street Address |
2579 E 17TH ST SUITE 28 |
City | BROOKLYN |
State | NY |
Zip | 11235-3515 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alicia M Bloomer | Clinical Social Worker | Rothschild Mental Health Counseling Pllc | 2579 E 17th St, Suite 28, Brooklyn, NY 11235-3515 |
Name | Specialty | Organization | Address |
---|---|---|---|
Una Sibirceva | Internal Medicine | 719 Oceanview Ave, Brooklyn, NY 11235 | |
Jeffrey S Lampert | Family Practice | 2422 Knapp St, Brooklyn, NY 11235-1006 | |
Michael J Scotto Diclemente | Podiatry | 2840 Knapp St, Brooklyn, NY 11235-1112 | |
Gregory Marcolin | Physical Therapy | Ocean View Medical, PC | 3900 Shore Pkwy, Brooklyn, NY 11235-1130 |
Diane Parsan | Physical Therapy | Ocean View Medical, PC | 3900 Shore Pkwy, Brooklyn, NY 11235-1130 |
Kristina Jeriomenkaite | Physical Therapy | Ocean View Medical, PC | 3900 Shore Pkwy, Brooklyn, NY 11235-1130 |
Danny E Mergi | Podiatry | 3900 Shore Pkwy, Brooklyn, NY 11235-1130 | |
Rebecca Granda | Clinical Psychologist | Psychological Health Services P.C. | 3900 Shore Pkwy, Harbor View Adult Home, Brooklyn, NY 11235-1130 |
Michael Penhasov | Occupational Therapy | 3003 Ave X, Brooklyn, NY 11235-1246 | |
Howard J Greenspan | Chiropractic | 2692 Ford St, Brooklyn, NY 11235-1307 | |
Find all physicians in zip 11235 |
City | BROOKLYN |
Zip Code | 11235 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | BROOKLYN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Keith Blackburn.
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.