DARYLE BLACKSTOCK, PHYSICIAN ASSISTANT

PHYSICIAN ASSISTANT

NPI: 1295820298Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

006279-1(NY)

Contact & Hours

Address: 622 W 168TH ST
NEW YORK, NY 10032
Phone: (212) 305-7771

Quick Facts

NPI: 1295820298
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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