Mr. Nicklos Blaylock
Mr. Nicklos Blaylock is a Registered Nurse in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2010
Practice location Address checks out
19 20th AveBay Shore, NY 11706-3109
Phone: (631) 328-4292
Fax: (631) 647-4613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 590968-1 (NY) |
|---|
Record details
| NPI number | 1255632675 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 17, 2010 |
| Last updated in NPPES | November 17, 2010 |
| Mailing address | 19 20th Ave, Bay Shore, NY 11706-3109 |
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