Wilma J. Blackmer

Individual provider Active NPI Attendant Care Provider · Canton, NY

NPI 1982251740 · NPPES record last updated Aug 26, 2019

Key facts

NPI
1982251740
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
1756 CR 14
Canton, NY 13617
Phone
(315) 528-5555
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

1756 CR 14
Canton, NY 13617

Mailing address

1756 CR 14
Canton, NY 13617

Other providers in Canton, NY

All providers in Canton, NY · Attendant Care Provider in New York

Sources for this page

Verify at the official NPI Registry.