Individual
ANA MARIA G BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
181 N BELLE MEAD RD STE 2, EAST SETAUKET, NY 11733-3495
(631) 444-5858
Mailing address
181 N BELLE MEAD RD STE 2, EAST SETAUKET, NY 11733-3495
(631) 444-5858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03415170
—
NY
01
—
A400071688
MEDICARE
NY
Enumeration date
05/16/2008
Last updated
03/06/2013
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