Individual
RICARDO GARY BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 ATLANTIC AVE, CARLE PLACE, NY 11514-2036
(516) 581-2121
Mailing address
156 ATLANTIC AVE, CARLE PLACE, NY 11514-2036
(516) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021946
NY
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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