Individual
SANDRA BLANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
235 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1701
(718) 876-1732
(718) 876-3459
Mailing address
235 PORT RICHMOND AVE, SUITE 201, STATEN ISLAND, NY 10302-1701
(718) 876-1732
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
334411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025685606
—
NY
Enumeration date
10/12/2005
Last updated
11/04/2013
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