Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elaine Rose Blackman, DO

Individual provider Pediatrics Physician · NPI 1710636253

Elaine Rose Blackman, DO is a Pediatric Medicine in Amsterdam, New York. Graduated from Lake Erie Col of Osteo Med at Seton Hill Univ in 2022, 4 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
4
Trained at
Lake Erie Col of Osteo Med at Seton Hill Univ
Licensed in
NY
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4950 State Highway 30
Amsterdam, NY 12010-7520
Phone: (518) 841-3770
Fax: (518) 841-3775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 427 Guy Park Ave, Amsterdam, NY 12010-1064 — (518) 841-3770

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 337680 (NY)

Record details

NPI number1710636253
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolLAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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