Individual
NATASHA SHELLYANN BLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIRLOSS SPECIALIST
Contact information
Practice address
375 ROCKAWAY AVE, BROOKLYN, NY 11212-5635
(718) 342-2088
Mailing address
245 WARWICK ST, BROOKLYN, NY 11207-2713
(347) 623-0120
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
22NE1379639
NY
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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