Individual
BLANDY LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1048 E 84TH ST, BROOKLYN, NY 11236-4228
(770) 825-6454
Mailing address
1048 E 84TH ST, BROOKLYN, NY 11236-4228
(770) 825-6454
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
033950
NY
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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